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Broken Arrow Medical Group LLC

General Practice Physician in Tulsa, OK · enumerated 2006 · authorized official Debbie Brewer, Director of Provider Enrollment.

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

National Provider Identifier

1386676153

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Registry record

Entity type Organization (Type 2)
Legal business name Broken Arrow Medical Group LLC
Practice address 9001 S. 101st E. Ave, Ste 350, Tulsa, OK, 74133
Enumeration date Jul 6, 2006
Last updated in NPPES Jun 24, 2011

Taxonomy & classification

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

Authorized official

Name Debbie Brewer
Title Director of Provider Enrollment

Other identifiers

Identifier Type State Issuer
200100460A Medicaid OK -

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

Who is the authorized official for Broken Arrow Medical Group LLC?
NPPES lists Debbie Brewer (Director of Provider Enrollment) as the authorized official for this organization.
What is the NPI number for Broken Arrow Medical Group LLC?
The NPI for Broken Arrow Medical Group LLC is 1386676153, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-06-24.