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

Mr. Travis James Buchanan, PA-C

Individual provider Physician Assistant · NPI 1710281894

Mr. Travis James Buchanan, PA-C is a Physician Assistant in Broken Arrow, Oklahoma. Qualified in 2010, 16 years ago. Practices with Integrated Rehab Consultants LLC, a 164-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
16
Licensed in
OK
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4304 W Houston St
Broken Arrow, OK 74012-4519
Phone: (872) 231-3162
Fax: (702) 977-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1939 (OK)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 1939 (OK)

Record details

NPI number1710281894
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2011
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Integrated Rehab Consultants Llc — 164 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Broken Arrow