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

Broken Arrow Medical Group LLC

Organization Family Medicine Physician · NPI 1386676153

Broken Arrow Medical Group LLC is a Family Medicine Physician in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9001 S 101st E Ave Ste 350
Tulsa, OK 74133
Phone: (918) 392-5500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1386676153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813
NPI enumeratedJuly 6, 2006
Last updated in NPPESJune 24, 2011
Mailing addressPo Box 689022, Franklin, TN 37068-9022

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