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

Individual provider Family Medicine Physician · NPI 1730779901

Indigo Drew Vincent Deberry, MD is a Family Practice in Moore, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2021, 5 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Trained at
University of Oklahoma College of Medicine
Licensed in
OK
In the registry since
2021
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

1401 SW 34th St Ste 200
Moore, OK 73160-3059
Phone: (405) 793-1188
Fax: (405) 793-0492
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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 38236 (OK)

Record details

NPI number1730779901
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 21, 2021
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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