BETHANY MEDICAL CLINIC, PLLC
NPI 1255522306
Clinic/Center - Health Service in Bethany, OK

NPI Status: Active since August 05, 2007

Contact Information

6801 NW 39TH EXPY
BETHANY, OK
ZIP 73008
Phone: (405) 789-2441

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Health Service
CLIA Number: 37D0469417
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 02-25-2026

About BETHANY MEDICAL CLINIC, PLLC

This page provides the complete NPI Profile along with additional information for Bethany Medical Clinic, Pllc, a provider established in Bethany, Oklahoma operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1255522306 assigned on August 2007. The practitioner's primary taxonomy code is 261QH0100X with license number 9222 (OK). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Douglas W. Brant M.d. (Owner)

NPI: 1255522306
Provider Name: BETHANY MEDICAL CLINIC, PLLC
Entity Type: Organization
Location Address: 6801 NW 39TH EXPY BETHANY, OK 73008
Location Phone: (405) 789-2441
Mailing Address: 6801 NW 39TH EXPY BETHANY, OK 73008
Mailing Phone: (405) 789-2441
Mailing Fax
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-05-2007
Last Update Date: 08-31-2020
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Health Service
Taxonomy Code: 261QH0100X
Type: Ambulatory Health Care Facilities
License No.: 9222
License State: OK

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. DOUGLAS W. BRANT M.D.
Authorized Official Title: OWNER
Authorized Official Phone: (405) 789-2441

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
CH9820	OTHER (01)	OK	MEDICARE RR GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 37D0469417
Facility Type: Physician Office
Certificate Effective Date: February 26, 2024
Certificate Expiration Date: February 25, 2026
Laboratory Director: SR. DOUGLAS W. BRANT
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Bethany Medical Clinic, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	5	5	5	2	2	3	0	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	10	5	10	2	4	3	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 0 + 2 + 4 + 3 + 0 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 6									6

The NPI number 1255522306 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.