WILLIAM OBRIEN (M.D.) – Internal Medicine Physician, NPI 1578524963

WILLIAM OBRIEN (M.D.) is a healthcare provider. based in Broken arrow, Oklahoma. specializing in INTERNAL MEDICINE, PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 20338 (OK). The NPI Number for WILLIAM OBRIEN (M.D.) is 1578524963

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM OBRIEN (M.D.)
NPI
1578524963
Phone
(918) 251-8900
Address
1129 S ASPEN AVE
Enumeration Date
28 March 2006
Last Update Date
29 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9184011002
Graduation Year
1996 (30 years ago)
PAC ID
9335367853
Group Practice PAC ID
7911242961
Professional Enrollment ID
I20140826000397
Address ID
OK741372101TU6130XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,476 INTERNAL MEDICINE in OK

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Provider Addresses for WILLIAM OBRIEN (M.D.)

  • South Aspen Avenue, Broken Arrow, Tulsa County, Oklahoma, 74012, United States

    BROKEN ARROW, OK 740124859

    Phone: (918) 251-8900

    Fax: (918) 293-3169

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $22.

Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.

Last reported payment date: 2023-04-26 • Largest payer in this snapshot: Exact Sciences Corporation ($22).

Total Amount

$22

General + Research + Ownership

Payments

1

Total payment records

General Amount

$22

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-26

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: 2014-08-26

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
I20140826000397IInternal MedicineOKTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74012)

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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: 7911242961View full group profile
NameSpecialtyState
Nurse PractitionerTX
General SurgeryTX
Nurse PractitionerOK
-OK
Physician AssistantOK
Addiction Medicine, Internal MedicineOK
N E U R O S U R G E R YTX
Physician AssistantTX
N E U R O S U R G E R YFL
N E U R O S U R G E R YOK

Reviews

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Frequently asked questions

Can I verify WILLIAM OBRIEN (M.D.) with an NPI only?
You can start verification with NPI 1578524963 for WILLIAM OBRIEN (M.D.), then check state licensing separately.
Is WILLIAM OBRIEN (M.D.) still practicing?
WILLIAM OBRIEN (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes WILLIAM OBRIEN (M.D.)?
For research purposes, treat WILLIAM OBRIEN (M.D.) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is WILLIAM OBRIEN (M.D.) based?
WILLIAM OBRIEN (M.D.) is tied to Broken Arrow, Oklahoma in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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