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BRYSSA CHACON GOMEZ
NPI 1093650194
Case Manager/Care Coordinator in Broken Arrow, OK

Active since April 23, 2026
4425 W TOLEDO ST, BROKEN ARROW, OK 74012(408) 430-4904 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bryssa Chacon Gomez NPPES

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

BRYSSA CHACON GOMEZ (NPI 1093650194) is an individual case manager/care coordinator provider in Broken Arrow, Oklahoma and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1093650194
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameBRYSSA CHACON GOMEZ
Location Address4425 W TOLEDO STBroken Arrow, OK 74012-6048
Mailing Address4425 W Toledo StBroken Arrow, OK 74012-6048 · (408) 430-4904
Phone(408) 430-4904
Sole ProprietorYes
Enumeration DateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1093650194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4425 W TOLEDO ST, Broken Arrow, OK 74012
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryssa Chacon Gomez's NPI number?

The NPI number for Bryssa Chacon Gomez is 1093650194. It was assigned to this individual provider in the NPPES registry on April 23, 2026.

Where is Bryssa Chacon Gomez located?

Bryssa Chacon Gomez practices at 4425 W Toledo St, Broken Arrow, OK 74012. The listed phone number is (408) 430-4904.

What is Bryssa Chacon Gomez's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Bryssa Chacon Gomez was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.