BLUE BAYOU INC – NPI #1043568538
Family Medicine

A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

Health Care Provider Taxonomy Code for Family Medicine

BLUE BAYOU INC is a provider located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1043568538 to BLUE BAYOU INC on August 15, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine

The NPI profile was previously updated about 14 years ago on Sep 18, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BLUE BAYOU INC below.

NPI Profile for
BLUE BAYOU INC

NPI Number
1043568538
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BLUE BAYOU INC
Primary location
100 PARK AVE
OKLAHOMA CITY, OK 73102-8006
Phone: (405) 229-3410 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JAMES BRONSON
CEO
Phone: (405) 229-3410
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0000X
- Family Medicine / Adolescent Medicine (Primary)		 OK 12345

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.