Broken Arrow Medical Group Llc

LBN: Broken Arrow Medical Group Llc
Broken Arrow Medical Group Llc is an health care organization with primary practice located at 9001 S. 101St E. Ave Ste 350, Tulsa OK 74133. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Broken Arrow Medical Group Llc can be contacted via phone (918) 392-5500, or through Brewer, Debbie T via phone (877) 892-9813.

Contact Information

Primary practice address
9001 S. 101St E. Ave Ste 350 Tulsa OK 74133
Phone: (918) 392-5500
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brewer, Debbie T
Phone: (877) 892-9813

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1386676153
LBN Legal business name Broken Arrow Medical Group Llc
DBA Doing business as
Authorized official Brewer, Debbie T
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2006
Last updated Jun 24th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1386676153 NPPES
Oklahoma MEDICAID 200100460A

Popular Providers