Green Country Infectious Disease PC
Green Country Infectious Disease PC is a healthcare organization registered as Infectious Disease Physician in Broken Arrow, OK, holding Type 2 (organization) NPI 1639639321 since 2019. The authorized official on file is Janice Bracken, Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1639639321 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Green Country Infectious Disease PC |
| Practice address | 421 STONE WOOD DR, Broken Arrow, OK, 74012 |
| Phone | 9188728822 |
| Enumeration date | 2019-03-20 |
| Last updated in NPPES | 2019-04-03 |
Authorized official
| Name | Janice Bracken |
|---|---|
| Title | Credentialing |
| Phone | 9184486160 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207RI0200X | Infectious Disease Physician | Primary | — | — |
Copy-ready billing details
Provider: Green Country Infectious Disease PC NPI: 1639639321 Taxonomy: 207RI0200X (Infectious Disease Physician) Address: 421 STONE WOOD DR, Broken Arrow, OK, 74012
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1104522556 | Rebekah Newton | Individual | Medical Physician Assistant | Broken Arrow, OK |
| 1447031596 | Winter Carson | Individual | Family Nurse Practitioner | Broken Arrow, OK |
| 1952278947 | Sandy Bruce | Individual | Family Nurse Practitioner | Broken Arrow, OK |
Verify this record
Cross-check NPI 1639639321 against the authoritative CMS record: view Green Country Infectious Disease PC 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
Who is the authorized official for Green Country Infectious Disease PC?
What is the NPI number for Green Country Infectious Disease PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-03.