DR. TRAVIS JOHN BRACHTENBACH DO
NPI 1043839012
Internal Medicine - Hematology & Oncology in Tulsa, OK

Q: What is Travis Brachtenbach's NPI number?

The NPI number for Travis Brachtenbach is 1043839012. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Q: What is Travis Brachtenbach's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Active since April 10, 2020PECOS Enrolled

12697 E 51ST ST, TULSA, OK 74146(918) 505-3200 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Apr 10, 2020 (2 updates tracked since 2020).

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About Dr. Travis John Brachtenbach Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TRAVIS JOHN BRACHTENBACH DO (NPI 1043839012) is an individual hematology & oncology provider in Tulsa, Oklahoma, licensed in Texas (U3795) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043839012

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameDR. TRAVIS JOHN BRACHTENBACHCredential: DO

Location Address12697 E 51ST STTulsa, OK 74146-6236

Mailing Address12697 E 51st StTulsa, OK 74146-6236 · (918) 505-3200

Phone(918) 505-3200

Sole ProprietorNo

Enumeration DateApril 10, 2020

Last NPPES UpdateJune 9, 20262 updates tracked since enumeration

NPPES CertifiedJune 9, 2026

✔ NPI 1043839012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

Licenses✔ Licensed in TX · U3795✔ Licensed in OK · 7294

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

12697 E 51ST ST, Tulsa, OK 74146

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Travis John Brachtenbach Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$162.61 typical visit price

range $53.00 – $162.61

Typical copayment $40.65 (range $13.25 – $40.65)

Most-billed visit code 99205

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE ANN ADAME APRN

Nurse Practitioner (Family)