Broken Arrow Medical Group LLC
NPI 1386676153ActiveOrganization· General Practice· Tulsa, OK
General Practice in Tulsa, Oklahoma, registered in NPPES in July 2006. The authorized official on file is Debbie T. Brewer, Director Of Provider Enrollment.
Overview
| NPI | 1386676153 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 6, 2006 |
| Last updated in NPPES | Jun 24, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Family Medicine | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Obstetrics & Gynecology | 207V00000X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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