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

Alan Lee Brokenicky, PA

Individual provider Physician Assistant · NPI 1184889768

Alan Lee Brokenicky, PA is a Physician Assistant in Tulsa, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2008.

Licensed in
OK
In the registry since
2008
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9912 E 21st St
Tulsa, OK 74129-1620
Phone: (918) 622-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1752 (OK)

Record details

NPI number1184889768
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 23, 2008
Last updated in NPPESJanuary 12, 2017
Mailing address1705 E 19th St, Ste 302, Tulsa, OK 74104-5410

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