BRAXTON LANE NOTTINGHAM (MD) – Family Medicine Physician, NPI 1821528480

BRAXTON LANE NOTTINGHAM (MD) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 32946 (OK). The NPI Number for BRAXTON LANE NOTTINGHAM (MD) is 1821528480

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
BRAXTON LANE NOTTINGHAM (MD)
NPI
1821528480
Phone
(405) 470-7100
Address
5300 N INDEPENDENCE AVE STE 280
Enumeration Date
15 June 2017
Last Update Date
28 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
4059512855
Graduation Year
2017 (9 years ago)
PAC ID
2668745399
Group Practice PAC ID
9335188184
Professional Enrollment ID
I20181117000269
Address ID
OK731124509OK3625XSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,775 FAMILY PRACTICE in OK

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Provider Addresses for BRAXTON LANE NOTTINGHAM (MD)

  • 280, North Independence Avenue, Enid, Garfield County, Oklahoma, 73701, United States

    OKLAHOMA CITY, OK 731125555

    Phone: (405) 470-7100

    Fax: (405) 470-7111

    Type: Mailing

  • 5720, West Memorial Road, Oklahoma City, Oklahoma County, Oklahoma, 73142, United States

    OKLAHOMA CITY, OK 731422010

    Phone: (405) 470-7100

    Fax: (405) 470-7111

    Type: Location

  • 3001 QUAIL SPRINGS PKWY FL 5

    OKLAHOMA CITY, OK 731342640

    Phone: (405) 669-2600

    Fax: (405) 500-1232

    Type: Mailing

  • 2557 OLD TIMBERS DR

    EDMOND, OK 730349813

    Phone: (405) 669-2600

    Fax: (405) 500-1232

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 149 Open Payments records for all available years, with a total value of $2,941.

Total Amount is formed as General ($2,941) + Research ($0) + Ownership ($0) = $2,941.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($717).

Total Amount

$2,941

General + Research + Ownership

Payments

149

Total payment records

General Amount

$2,941

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

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: 2018-11-17

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
I20181117000269IFamily PracticeOKTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes642261$0
36415Insertion of needle into vein for collection of blood sample222193$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit212212$0
83036Hemoglobin a1c level12973$0
G0008Administration of influenza virus vaccine5858$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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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: 9335188184View full group profile
NameSpecialtyState
Family PracticeOK
Family PracticeOK
Family PracticeOK
Family PracticeOK
Family PracticeOK
Family PracticeOK
-OK
Family PracticeOK
Family PracticeOK
Family PracticeOK

Reviews

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Frequently asked questions

Does BRAXTON LANE NOTTINGHAM (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BRAXTON LANE NOTTINGHAM (MD) uses 1821528480.
Does CMS list BRAXTON LANE NOTTINGHAM (MD) as active?
Yes — BRAXTON LANE NOTTINGHAM (MD) is active in the NPI listing used on this page.
What taxonomy line describes BRAXTON LANE NOTTINGHAM (MD)?
For research purposes, treat BRAXTON LANE NOTTINGHAM (MD) as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where is BRAXTON LANE NOTTINGHAM (MD) based?
BRAXTON LANE NOTTINGHAM (MD) is tied to Oklahoma City, Oklahoma in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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