BETHANY MEDICAL CLINIC, PLLC
NPI 1255522306
Clinic/Center - Health Service in Bethany, OK
About Bethany Medical Clinic, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY MEDICAL CLINIC, PLLC (NPI 1255522306) is a healthcare organization registered as a health service in Bethany, Oklahoma and active in the NPI registry since August 2007. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Douglas W. Brant, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Medical Clinic, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Bethany Medical Clinic, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 37D0469417
Bethany Medical Clinic, PLLC · Bethany, OKFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Medical Clinic, PLLC's NPI number?
The NPI number for Bethany Medical Clinic, PLLC is 1255522306. It was assigned to this organization in the NPPES registry on August 5, 2007.
Where is Bethany Medical Clinic, PLLC located?
Bethany Medical Clinic, PLLC is located at 6801 NW 39th Expy, Bethany, OK 73008. The listed phone number is (405) 789-2441.
What is Bethany Medical Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Bethany Medical Clinic, PLLC enrolled in Medicare?
Yes. Bethany Medical Clinic, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bethany Medical Clinic, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Bethany Medical Clinic, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bethany Medical Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 37D0469417) is associated with this NPI, valid through February 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bethany Medical Clinic, PLLC was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bethany Medical Clinic, Pllc · NPI 1255522306
Health Service organization in Bethany, Oklahoma. Organization record, active in the CMS NPPES registry since August 5, 2007.
## Identity
- **NPI:** 1255522306 (Entity type: Organization)
- **Enumerated:** August 5, 2007
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Douglas Brant, OWNER
## Practice location
- **Address:** 6801 NW 39TH EXPY, Bethany, OK 73008-2501
- **Phone:** (405) 789-2441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 31, 2020
- **Other identifiers:** Other CH9820 (OK)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255522306) · Data from the CMS NPPES public registry.