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

Dr. Theodore Alan Boehm, MD

Individual provider Family Medicine Physician · NPI 1508894825

Dr. Theodore Alan Boehm, MD is a Sports Medicine in Norman, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2003, 23 years ago. Practices with Ortho Central, a 33-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2006
Specialties on file
2
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

3400 W Tecumseh Rd Ste 101
Norman, OK 73072-1810
Phone: (405) 360-6764
Fax: (405) 360-6769
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence 23491 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 23491 (OK)

Record details

NPI number1508894825
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2006
Last updated in NPPESMay 11, 2016
Mailing address3400 W Tecumseh Rd Ste 101, Norman, OK 73072-1810

Medicare enrollment

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

Medicare specialtySPORTS MEDICINE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Ortho Central — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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