SHELEATHA TAYLOR-BRISTOW (M.D.) – Family Medicine Physician, NPI 1265744056
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,775 FAMILY PRACTICE in OK
Provider Addresses for SHELEATHA TAYLOR-BRISTOW (M.D.)
721 W BRITTON RD
OKLAHOMA CITY, OK 731142909
Phone: (405) 632-6688
Type: Location
12716 N.E 36TH
OKLAHOMA CITY, OK 73140
Phone: (405) 769-3301
Fax: (405) 769-0290
Type: Mailing
12716 NE 36TH ST
SPENCER, OK 730849167
Phone: (405) 769-3301
Type: Location
3000 N GRAND BLVD
OKLAHOMA CITY, OK 731071818
Phone: (056) 326-6884
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Organon LLC ($38).
Total Amount
$76
General + Research + Ownership
Payments
7
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organon LLC | $38 |
| Abbott Laboratories | $24 |
| Myriad Women's Health, Inc. | $15 |
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: 2012-01-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120123000805 | I | Family Practice | OK | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73114)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OK | 83036 | Hemoglobin A1C level | 92 | 50 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | OK | |
| Family Practice | OK | |
| Family Practice | OK | |
| Nurse Practitioner | OK | |
| Registered Dietitian Or Nutrition Professional | OK | |
| Family Practice | OK | |
| - | OK | |
| Clinical Social Worker | OK |
Reviews
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