Breedlove Wound Care of Oklahoma LLC
NPI 1659183135ActiveOrganization· Surgery· Madill, OK
Surgery in Madill, Oklahoma, registered in NPPES in January 2025. The authorized official on file is Robert Wilson, Assistant Manager Credentialing. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1659183135 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2025 |
| Last updated in NPPES | Jan 22, 2025 |
| Certified by provider | Jan 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
| Family Medicine | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (OK) |
|---|