Broken Arrow Family Clinic Inc
NPI 1497966303ActiveOrganization· Family Medicine· Broken Arrow, OK
Family Medicine in Broken Arrow, Oklahoma, registered in NPPES in May 2007. The authorized official on file is Brian Coder, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1497966303 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 24, 2007 |
| Last updated in NPPES | May 16, 2023 |
| Certified by provider | May 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 3252 | OK |
| Family Medicine | 207Q00000X | 1577 | OK |
| Family Medicine | 207Q00000X | 1530 | OK |
| Family Medicine | 207Q00000X | 1827 | OK |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|
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