PHILIP CLAY BRYAN (MD) – Surgery Physician, NPI 1104828359

PHILIP CLAY BRYAN (MD) is a healthcare provider. based in Enid, Oklahoma. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 9273 (OK). The NPI Number for PHILIP CLAY BRYAN (MD) is 1104828359

Main info

Male
Sole Proprietor
57 Years Of Experience
Accepts Medicare Assignment
Name
PHILIP CLAY BRYAN (MD)
NPI
1104828359
Phone
(580) 548-5010
Address
305 S 5th St
Enumeration Date
1 June 2005
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4054736866
Graduation Year
1969 (57 years ago)
PAC ID
7315839958
Group Practice PAC ID
6406296300
Professional Enrollment ID
I20040327000206
Address ID
OK731399450OK8324XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Digital endpointsOther names

354 GENERAL SURGERY in OK

Provider Addresses for PHILIP CLAY BRYAN (MD)

  • 305 S 5th St

    Enid, OK 737015832

    Phone: (580) 548-5010

    Fax: (580) 548-5012

    Type: Location

  • 1515 TOWER DR

    MOORE, OK 731606181

    Phone: (405) 310-0836

    Fax: (405) 758-5582

    Type: Mailing

  • 1000 N LEE AVE

    OKLAHOMA CITY, OK 731021036

    Phone: (405) 340-2346

    Type: Location

  • Rambling Road, Edmond, Oklahoma County, Oklahoma, 73003, United States

    EDMOND, OK 730032310

    Phone: (405) 340-2346

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $675.

Total Amount is formed as General ($675) + Research ($0) + Ownership ($0) = $675.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Organogenesis Inc. ($272).

Total Amount

$675

General + Research + Ownership

Payments

30

Total payment records

General Amount

$675

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-03-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040327000206IGeneral SurgeryOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97597Removal of tissue from wound, 20.0 sq cm or less30072$0
11042Removal of skin and tissue, 20.0 sq cm or less11339$0
99212Established patient office or other outpatient visit, 10-19 minutes9938$0
97598Removal of tissue from wound, each additional 20.0 sq cm3211$0
99202New patient office or other outpatient visit, 15-29 minutes2323$0
View full utilization report →

Insurance plans in this area (ZIP 73701)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406296300View full group profile
NameSpecialtyState
Undersea And Hyperbaric Medicine, General PracticeTX
Emergency Medicine, Peripheral Vascular DiseaseOK
Family Practice, Peripheral Vascular DiseaseTN
Family Practice, Peripheral Vascular DiseaseOK

Reviews

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Frequently asked questions

Can I verify PHILIP CLAY BRYAN (MD) with an NPI only?
You can start verification with NPI 1104828359 for PHILIP CLAY BRYAN (MD), then check state licensing separately.
Does the file indicate PHILIP CLAY BRYAN (MD) is practicing under active NPI?
Directory data currently reports PHILIP CLAY BRYAN (MD) as active.
What is PHILIP CLAY BRYAN (MD)'s primary classification?
Surgery Physician is the headline specialty for PHILIP CLAY BRYAN (MD) here. Clinical services aligned with this taxonomy classification.
Does PHILIP CLAY BRYAN (MD) list a practice location?
Patients near Enid, Oklahoma may find PHILIP CLAY BRYAN (MD) in results; validate coverage separately.
Is the information about PHILIP CLAY BRYAN (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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