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

Bryssa Chacon Gomez

Individual provider Case Manager/Care Coordinator · NPI 1093650194

Bryssa Chacon Gomez is a Case Manager/Care Coordinator in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2026

Practice location Address checks out

4425 W Toledo St
Broken Arrow, OK 74012-6048
Phone: (408) 430-4904
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (OK)

Record details

NPI number1093650194
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 23, 2026
Last updated in NPPESApril 23, 2026
Certification dateApril 23, 2026
Mailing address4425 W Toledo St, Broken Arrow, OK 74012-6048

Other providers in Broken Arrow