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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, April 26, 2024 10:48 AM CDT
Next Update: Friday, April 26, 2024 12:00 PM CDT

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VAN DOREN, BRYAN ANDREW
Practice Address: ADVANCED PAIN OF TULSA
9320 SOUTH MINGO ROAD
TULSA OK 74133-5710

Address last updated on 6/20/2023
Phone #: (918) 901-9701
Fax #: (918) 901-9702
County: TULSA
License: 17313
Dated: 7/1/1990
Expires: 7/1/2024
License Type: Medical Doctor
Specialty: Internal Medicine
Pain Medicine
Medical Oncology
Hematology (Internal Medicine)
Addiction Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: YES
Medical School: Univ Of KS Sch Of Med, Kansas City Ks 66103
Graduated: 5 / 1987
CME Year: 2026
Pending and/or Past Disciplinary Actions:
Date Action Reasons Remarks
5/3/2019 Probation Ended
4/26/2013 Probation
11/8/2012 Restriction Lifted
11/8/2012 Probation
11/3/2011 License Reinstated
11/3/2011 Probation
11/3/2011 Restriction
11/3/2011 Restriction
11/3/2006 Surrendered License
3/10/2006 Complaint Citation
3/9/2000 Probation
11/30/1998 Suspension, License
7/3/1994 Probation Ended
5/9/1990 Probation
Board Filings and/or Orders:
10/16/2019
05/03/2019
04/26/2013
11/08/2012
11/03/2011
11/03/2006
11/03/2006
03/09/2006
03/09/2006
07/19/2001
03/09/2000
02/28/1992
11/02/1991
05/19/1990
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF INTERNAL MEDICINE
AMERICAN BOARD OF PREVENTIVE MEDICINE - Addiction Medicine
New Patients: Yes
Medicaid: No
Medicare: Yes
   
HMO/PPO: Aetna Elect Choice
Aetna HMO
Aetna Managed Choice
Aetna PPO
Beechstreet PPO
Champ VA
CIGNA PPO
Coventry Health Care National Network
Dept of Rehabilitation Services (DRS)
Evolutions Healthcare
First Health
Galaxy Health Network
HealthChoice
Humana ChoiceCare
Humana Tricare/PGBA
Multiplan PPO
OSMA Health (formerly Plico PPO)
Tricare for Life
Tricare Standard
United Healthcare Choice
United Healthcare HMO
United Healthcare Options PPO
United Insurance
Hospital Privileges: None listed
Locations: Hours: Languages:
ADVANCED PAIN OF TULSA
9320 SOUTH MINGO ROAD
TULSA OK 74133-5710

Phone #: (918) 901-9701
Fax #: (918) 901-9702
Mon: 8:00AM - 5:00PM
Tue: 8:00AM - 5:00PM
Wed: 8:00AM - 5:00PM
Thu: 8:00AM - 5:00PM
Fri: 8:00AM - 1:00PM
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
SAMANTHA CAMPBELL APRN 102249
LINDSEY GROVES APRN 85966
MARK DONALD HALL PA 2108
JERI TOWNSEND APRN 57587

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