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

Dominique Bothwell, DO

Individual provider Family Medicine Physician · NPI 1528708856

Dominique Bothwell, DO is a Family Practice in Tulsa, Oklahoma. Qualified in 2022, 4 years ago. Practices with Hospital Care Consultants Inc, a 25-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7501 Riverside Pkwy
Tulsa, OK 74136-5056
Phone: (918) 710-4200
Fax: (918) 403-6331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 8110 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1528708856
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESNovember 18, 2024
Certification dateNovember 13, 2024
Mailing address7501 Riverside Pkwy, Tulsa, OK 74136-5056

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Hospital Care Consultants Inc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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