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

Restoration Foot & Ankle PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1174705602

Restoration Foot & Ankle PLLC is a Foot & Ankle Surgery Podiatrist in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 W Boise Cir Ste 150
Broken Arrow, OK 74012-4906
Phone: (918) 274-1557
Fax: (918) 274-8557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 232 (OK)

Record details

NPI number1174705602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Beasley — Owner/Physician · (918) 274-1557
NPI enumeratedNovember 27, 2007
Last updated in NPPESOctober 8, 2014
Mailing addressPo Box 3500, Dept No 618, Claremore, OK 74018-3500

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