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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Wednesday, December 18, 2024 6:43 PM CST
Next Update: Thursday, December 19, 2024 2:50 AM CST

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HANNA, BRYAN CASEY       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: 1200 W. CHEROKEE
WAGONER OK 74467-4629

Address last updated on 8/22/2024
Phone #: (918) 485-5514
Fax #:
County: WAGONER
License: 21947
Dated: 9/27/2001
Expires: 9/1/2025
License Type: Medical Doctor
Specialty: Family Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of Tx Med Branch Galveston, Galveston Tx 77550
Graduated: 5 / 2000
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF FAMILY MEDICINE
New Patients: Yes
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
BlueLincs HMO
Champ VA
CIGNA PPO
Coventry Health Care National Network
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
PacifiCare of Oklahoma, Inc
PHCS (Private Healthcare Systems)
Preferred Community Choice
Private Healthcare Systems (PHCS)
Railroad Medicare
Tricare for Life
Tricare Standard
United Healthcare HMO
United Healthcare Options PPO
Hospital Privileges: Wagoner Community Hospital
Wagoner, OK
Locations: Hours: Languages:
1200 W. CHEROKEE
WAGONER OK 74467-4629

Phone #: (918) 485-5514
Fax #:
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
101 N. McCracken
Chouteau, OK 74337

Phone #: (918) 476-5111
Fax #: (5) 201-
Mon: 7:30AM - 5:30PM
Tue: 7:30AM - 5:30PM
Wed: 7:30AM - 5:30PM
Thu: 7:30AM - 5:30PM
Fri:
Sat:
Sun:

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