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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Eagle Community Clinic LLC

Family Medicine Physician in Edmond, OK · enumerated 2011 · authorized official Brandon Penick, Director of Reimbursement.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063790202

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Registry record

Entity type Organization (Type 2)
Legal business name Eagle Community Clinic LLC
Parent organization Oklahoma Sports and Orthopedics Institute Pllc
Practice address 13800 Benson Rd, 202, Edmond, OK, 73013
Phone (405) 418-3077
Fax (405) 418-3076
Enumeration date Jul 21, 2011
Last updated in NPPES Jul 21, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Brandon Penick
Title Director of Reimbursement
Phone (405) 360-6764

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eagle Community Clinic LLC?
Eagle Community Clinic LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-07-21.