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

Conager Ray McBroom

Individual provider Physician Assistant · NPI 1184582546

Conager Ray McBroom is a Physician Assistant in Broken Bow, Oklahoma. Qualified in 2025, 1 year ago. Practices with Choctaw Nation of Oklahoma, a 270-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2026

Practice location Address checks out

1300 E Martin Luther King Dr
Broken Bow, OK 74728-4160
Phone: (580) 208-2204
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (OK)

Record details

NPI number1184582546
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address1300 E Martin Luther King Dr, Broken Bow, OK 74728-4160

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Choctaw Nation Of Oklahoma — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Broken Bow