1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Physician Assistant
  6. NPI Profile

ALAN LEE BROKENICKY PA
NPI 1184889768
Physician Assistant in Tulsa, OK

Active since July 23, 2008
9912 E 21ST ST, TULSA, OK 74129(918) 622-0641 Get Directions Write a Review

NPPES record last updated: January 12, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alan Lee Brokenicky Pa NPPES

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

ALAN LEE BROKENICKY PA (NPI 1184889768) is an individual physician assistant in Tulsa, Oklahoma, licensed in Oklahoma (1752) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1184889768
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameALAN LEE BROKENICKYCredential: PA
Location Address9912 E 21ST STTulsa, OK 74129-1620
Mailing Address1705 E 19th St, Ste 302Tulsa, OK 74104-5410 · (918) 748-7585
Phone(918) 622-0641
Sole ProprietorNo
Enumeration DateJuly 23, 2008
Last NPPES UpdateJanuary 12, 2017
✔ NPI 1184889768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OK · 1752
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9912 E 21ST ST, Tulsa, OK 74129
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 7

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

NEMARCA J KEYS
Registered Nurse
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 492-2554
JOHNSON C GOURD JR. M.D.
Family Medicine
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
COMMUNITY HEALTH CONNECTION INC
Clinic/Center (Federally Qualified Health Center (FQHC))
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
EMMA LEE WILSON LMSW; MSW U/S
Social Worker (Clinical)
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 779-4357
VICTORIA WILHELM BJORNSON DO
Family Medicine
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
DR. COREY SHAWN SCHOENEWE DO
Family Medicine
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 622-0641
NICOLE WHEELER LPC-C
Counselor (Professional)
9912 E 21ST ST
TULSA, OK 74129
Tulsa County (918) 779-4357

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 Alan Brokenicky's NPI number?

The NPI number for Alan Brokenicky is 1184889768. It was assigned to this individual provider in the NPPES registry on July 23, 2008.

Where is Alan Brokenicky located?

Alan Brokenicky practices at 9912 E 21st St, Tulsa, OK 74129. The listed phone number is (918) 622-0641.

What is Alan Brokenicky's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Alan Brokenicky accept?

Health plans from Medica list Alan Brokenicky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alan Brokenicky was last updated on January 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.