BRIAN A. BOATWRIGHT, PSY.D., P.L.L.C.
NPI 1295091411
Clinical Neuropsychologist in Tulsa, OK

Q: What is Brian A. Boatwright, Psy.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since April 02, 2012

5272 S LEWIS AVE STE 250, TULSA, OK 74105(918) 524-3300(918) 524-3302 Get Directions Write a Review

NPPES record last updated: April 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Brian A. Boatwright, Psy.d., P.l.l.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRIAN A. BOATWRIGHT, PSY.D., P.L.L.C. (NPI 1295091411) is a healthcare organization registered as a clinical neuropsychologist in Tulsa, Oklahoma and active in the NPI registry since April 2012. The organization lists Brian A. Boatwright, Neuropsychologist, as its authorized official.

NPPES Registry Identity

NPI1295091411

Entity TypeOrganization

Primary Taxonomy103G00000X

Legal Business NameBRIAN A. BOATWRIGHT, PSY.D., P.L.L.C.

Location Address5272 S LEWIS AVE STE 250Tulsa, OK 74105-6564

Mailing Address2935 E 75th StTulsa, OK 74136-5642 · (615) 415-5767

Phone(918) 524-3300

Fax(918) 524-3302

Organization SubpartNo

Authorized OfficialBrian A. BoatwrightNeuropsychologist · (615) 415-5767

Enumeration DateApril 2, 2012

✔ NPI 1295091411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in OK · 1144

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

5272 S LEWIS AVE STE 250, Tulsa, OK 74105

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian A. Boatwright, Psy.d., P.l.l.c. 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 Brian A. Boatwright, Psy.D., P.L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Boatwright, PSY.D.

Clinical Psychologist

NPI 1366722712

8110 S YALE AVE
Tulsa, OK 74137

(918) 794-2003

✔ PECOS✔ Accepts Medicare3.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Brian A. Boatwright, Psy.D., P.L.L.C.'s NPI number?

The NPI number for Brian A. Boatwright, Psy.D., P.L.L.C. is 1295091411. It was assigned to this organization in the NPPES registry on April 2, 2012.

Where is Brian A. Boatwright, Psy.D., P.L.L.C. located?

Brian A. Boatwright, Psy.D., P.L.L.C. is located at 5272 S Lewis Ave Ste 250, Tulsa, OK 74105. The listed phone number is (918) 524-3300.

What is Brian A. Boatwright, Psy.D., P.L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Brian A. Boatwright, Psy.D., P.L.L.C. enrolled in Medicare?

Yes. Brian A. Boatwright, Psy.D., P.L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian A. Boatwright, Psy.D., P.L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Brian A. Boatwright, Psy.D., P.L.L.C.. 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.

When was this NPI record last updated?

The NPPES record for Brian A. Boatwright, Psy.D., P.L.L.C. was last updated on April 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.