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

Dr. Lawrence Clay Brotherton III, MD

Individual provider Surgery Physician · NPI 1144218322

Dr. Lawrence Clay Brotherton III, MD is a General Surgery in Tulsa, Oklahoma. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1999, 27 years ago. Practices with St John Physicians, Inc, a 264-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
27
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
OK
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1725 E 19th St Ste 800
Tulsa, OK 74104-5472
Phone: (918) 301-2505
Fax: (918) 744-3633
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 24398 (OK)

Record details

NPI number1144218322
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 11, 2005
Last updated in NPPESJuly 26, 2011

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 1999 (27 years in practice)
Group practice St. John Physicians, Inc. — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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