Big Blue Star LLC
Big Blue Star LLC is a healthcare organization registered as Registered Dietitian in Edmond, OK, holding Type 2 (organization) NPI 1396072344 since 2009. The authorized official on file is Toby Broussard, Co Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1396072344 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Big Blue Star LLC |
| Other name | <Unavail> |
| Practice address | 1800 RENAISSANCE BLVD STE 200, Edmond, OK, 73013 |
| Phone | 4043592473 |
| Enumeration date | 2009-11-12 |
| Last updated in NPPES | 2009-12-17 |
Authorized official
| Name | Toby Broussard |
|---|---|
| Title | Co Owner |
| Phone | 4059748412 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | — | — |
| 174400000X | Specialist | Secondary | — | — |
| 291U00000X | Clinical Medical Laboratory | Secondary | — | — |
| 133V00000X | Registered Dietitian | Primary | — | — |
Copy-ready billing details
Provider: Big Blue Star LLC NPI: 1396072344 Taxonomy: 133V00000X (Registered Dietitian) Address: 1800 RENAISSANCE BLVD STE 200, Edmond, OK, 73013
Verify this record
Cross-check NPI 1396072344 against the authoritative CMS record: view Big Blue Star LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Big Blue Star LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-12-17.