Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Broken Arrow Family Clinic Inc

Organization Family Medicine Physician · NPI 1497966303

Broken Arrow Family Clinic Inc is a Family Medicine Physician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 W Oakland St
Broken Arrow, OK 74012-1656
Phone: (918) 251-2666
Fax: (918) 258-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3252 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1577 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1530 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1827 (OK)

Record details

NPI number1497966303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Coder — President · (918) 251-2666
NPI enumeratedMay 24, 2007
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address705 W Oakland St, Broken Arrow, OK 74012-1656

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