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

Broken Arrow Pediatrics, LLC

Organization Pediatrics Physician · NPI 1265879175

Broken Arrow Pediatrics, LLC is a Pediatrics Physician in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2013.

Licensed in
OK
In the registry since
2013
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

1220 N Elm Pl
Broken Arrow, OK 74012-1616
Phone: (918) 258-1955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 12938 (OK)

Record details

NPI number1265879175
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carl Pfanstiel — Owner · (918) 258-1955
NPI enumeratedMay 31, 2013
Last updated in NPPESMay 31, 2013
Mailing address1220 N Elm Pl, Broken Arrow, OK 74012-1616

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