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

Southcrest Medical Group LLC

Organization General Practice Physician · NPI 1992736250

Southcrest Medical Group LLC is a General Practice Physician in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
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

6528 E 101st St Ste I
Tulsa, OK 74133-6724
Phone: (918) 294-4803
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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

Record details

NPI number1992736250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813
NPI enumeratedJuly 5, 2006
Last updated in NPPESApril 20, 2008
Mailing address7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829

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