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

Fedcare, LLC

Organization Sports Medicine (Family Medicine) Physician · NPI 1083585491

Fedcare, LLC is a Sports Medicine (Family Medicine) Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2025.

In the registry since
2025
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

1801 N Broadway Ave
Oklahoma City, OK 73103-3446
Phone: (405) 219-2651
Fax: (405) 429-5191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Sports Medicine (Family Medicine) Physician Taxonomy 207QS0010X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X
Legal Medicine (M.D./D.O.) Physician Taxonomy 209800000X

Record details

NPI number1083585491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emili Gragg — Operations Manager · (405) 219-2651
NPI enumeratedSeptember 17, 2025
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025
Mailing addressPo Box 152, Oklahoma City, OK 73101-0152

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