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MAX GIOVANNI GONDOLFO DC
NPI 1326989658
Chiropractor in Broken Arrow, OK

Active since April 02, 2026
2432 W NEW ORLEANS ST, BROKEN ARROW, OK 74011(918) 938-1330 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Max Giovanni Gondolfo Dc NPPES

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

MAX GIOVANNI GONDOLFO DC (NPI 1326989658) is an individual chiropractor in Broken Arrow, Oklahoma, licensed in Oklahoma (4705) and active in the NPI registry since April 2026. He is a graduate of Palmer College Chiropractic - Davenport (2025).

NPPES Registry Identity

NPI1326989658
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMAX GIOVANNI GONDOLFOCredential: DC
Location Address2432 W NEW ORLEANS STBroken Arrow, OK 74011-1590
Mailing Address6105 W Birmingham CirBroken Arrow, OK 74011-1478
Phone(918) 938-1330
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2025
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1326989658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OK · 4705
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2432 W NEW ORLEANS ST, Broken Arrow, OK 74011
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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)

Max Giovanni Gondolfo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709355399
PECOS Enrollment IDI20260513000357

Other Providers at the Same Location NPPES

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

WAYBACK CHIROPRACTIC
Clinic/Center (Health Service)
2432 W NEW ORLEANS ST
BROKEN ARROW, OK 74011
Tulsa County (918) 938-1330

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 Max Gondolfo's NPI number?

The NPI number for Max Gondolfo is 1326989658. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Max Gondolfo located?

Max Gondolfo practices at 2432 W New Orleans St, Broken Arrow, OK 74011. The listed phone number is (918) 938-1330.

What is Max Gondolfo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Max Gondolfo enrolled in Medicare?

Yes. Max Gondolfo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Max Gondolfo was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.