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BROKEN ARROW FAMILY PRACTICE CENTER
NPI 1659405488
Family Medicine in Broken Arrow, OK

Active since March 15, 2007
817 S ELM PL STE A, BROKEN ARROW, OK 74012(918) 251-2273(918) 258-6446 Get Directions Write a Review

NPPES record last updated: June 27, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Broken Arrow Family Practice Center NPPES

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

BROKEN ARROW FAMILY PRACTICE CENTER (NPI 1659405488) is a healthcare organization registered as a family medicine in Broken Arrow, Oklahoma and active in the NPI registry since March 2007. The organization lists Douglas Holte, Owner, as its authorized official.

NPPES Registry Identity

NPI1659405488
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBROKEN ARROW FAMILY PRACTICE CENTER
Location Address817 S ELM PL STE ABroken Arrow, OK 74012-5369
Mailing Address817 S Elm Pl Ste ABroken Arrow, OK 74012-5369 · (918) 251-2273 · Fax (918) 258-6446
Phone(918) 251-2273
Fax(918) 258-6446
Organization SubpartNo
Authorized OfficialDouglas HolteOwner · (918) 251-2273
Enumeration DateMarch 15, 2007
Last NPPES UpdateJune 27, 2008
✔ NPI 1659405488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
817 S ELM PL STE A, Broken Arrow, OK 74012
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Other Identifiers 2

OtherP00389602Railroad Medicare
Medicaid100172440DOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Broken Arrow Vision Clinic carries, from the Medicare DMEPOS supplier directory.

Broken Arrow Vision Clinic

DMEPOS supplier · Broken Arrow, OKOperated by Ba Vision
✔

Accepts Medicare assignment

Broken Arrow Vision Clinic agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20554859
Medicare Participant SinceNovember 1, 2008
Supplier Location521 S Aspen AveBroken Arrow, OK 74012
Phone(918) 258-9999
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 2

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

CHERYL ANN FEKEN APRN,CNP
Nurse Practitioner (Family)
817 S ELM PL STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 251-2273
DR. WILLIAM CRAIG COOK MD
Internal Medicine
817 S ELM PL STE A
BROKEN ARROW, OK 74012
Tulsa County (918) 251-2273

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 Broken Arrow Family Practice Center's NPI number?

The NPI number for Broken Arrow Family Practice Center is 1659405488. It was assigned to this organization in the NPPES registry on March 15, 2007.

Where is Broken Arrow Family Practice Center located?

Broken Arrow Family Practice Center is located at 817 S Elm Pl Ste A, Broken Arrow, OK 74012. The listed phone number is (918) 251-2273.

What is Broken Arrow Family Practice Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Broken Arrow Family Practice Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Broken Arrow Vision Clinic accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

When was this NPI record last updated?

The NPPES record for Broken Arrow Family Practice Center was last updated on June 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.