MAX GIOVANNI GONDOLFO DC
NPI 1326989658
Chiropractor in Broken Arrow, OK
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Max Giovanni Gondolfo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Max Gondolfo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Broken Arrow, OK 74011
- Reassigned Medicare billing, Oklahoma enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organization bills Medicare for Max Gondolfo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Max Gondolfo reassigns Medicare benefits to Wayback Chiropractic (Broken Arrow, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Max Gondolfo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Max Giovanni Gondolfo, DC · NPI 1326989658
Chiropractor provider in Broken Arrow, Oklahoma. Individual provider, active in the CMS NPPES registry since April 2, 2026.
## Identity
- **NPI:** 1326989658 (Entity type: Individual)
- **Enumerated:** April 2, 2026
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 4705 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2432 W NEW ORLEANS ST, Broken Arrow, OK 74011-1590
- **Phone:** (918) 938-1330
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Wayback Chiropractic (NPI 1902747207, Broken Arrow, OK), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Palmer College Chiropractic - Davenport, class of 2025
## Record status
- **NPPES last updated:** April 2, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1326989658) · Data from the CMS NPPES public registry.