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DR. TANGRA LEA BROGE MD
NPI 1851689517
Pediatrics in Ada, OK

Active since July 15, 2011PECOS Enrolled
1921 STONECIPHER BLVD, ADA, OK 74820(580) 421-4570 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 25, 2024, Sep 14, 2016 (2 updates tracked since 2016).

About Dr. Tangra Lea Broge Md NPPES

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

DR. TANGRA LEA BROGE MD (NPI 1851689517) is an individual pediatrics provider in Ada, Oklahoma, licensed in Florida (ME166508) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851689517
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. TANGRA LEA BROGECredential: MD
Location Address1921 STONECIPHER BLVDAda, OK 74820
Mailing Address1921 Stonecipher BlvdAda, OK 74820 · (580) 421-4570
Phone(580) 421-4570
Sole ProprietorYes
Enumeration DateJuly 15, 2011
Last NPPES UpdateApril 25, 20242 updates tracked since enumeration
NPPES CertifiedApril 25, 2024
✔ NPI 1851689517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in FL · ME166508✔ Licensed in OK · 31854
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1921 STONECIPHER BLVD, Ada, OK 74820
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tangra Lea Broge Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Tangra Broge reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chickasaw Nation Division Of Health
Same address
General Acute Care Hospital
1921 STONECIPHER BLVD
Ada, OK 74820
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
  • 324 clinicians in this Medicare group
NPI 1255364923 (580) 421-4570
Mercy Hospital Ardmore, Inc
48 mi
Cardiovascular Disease
1101 14TH AVE NW
Ardmore, OK 73401
  • Reassigned Medicare billing, Oklahoma enrollment
  • 41 clinicians in this Medicare group
NPI 1578906657 (580) 223-5400
Mercy Clinic Oklahoma Communities
77 mi
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333
The Nemours Foundation
928 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600
Florida Hospital Medical Group Inc
998 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JOSHUA ALLEN MAYO DDS
Dentist
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
MISS LUCRETIA RENEE BARKER M.D.
Obstetrics & Gynecology
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
SHELBY BIGELOW LPC
Counselor (Mental Health)
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DARLENE SECK
Dietitian, Registered
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
JESSICA FRANKFURT CNM
Advanced Practice Midwife
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DR. DANIELLE RENEE BURKDOLL D.O.
Surgery
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980
DANIEL J ALLMAN
Physical Therapist
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 421-4570
DR. JAMES L GREEN DO
Family Medicine
1921 STONECIPHER BLVD
ADA, OK 74820
Pontotoc County (580) 436-3980

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 Tangra Broge's NPI number?

The NPI number for Tangra Broge is 1851689517. It was assigned to this individual provider in the NPPES registry on July 15, 2011.

Where is Tangra Broge located?

Tangra Broge practices at 1921 Stonecipher Blvd, Ada, OK 74820. The listed phone number is (580) 421-4570.

What is Tangra Broge's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tangra Broge enrolled in Medicare?

Yes. Tangra Broge is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tangra Broge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tangra Broge reassigns Medicare benefits to 5 organizations: Chickasaw Nation Division Of Health (Ada, OK), Mercy Hospital Ardmore, Inc (Ardmore, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), The Nemours Foundation (Jacksonville, FL) and Florida Hospital Medical Group Inc (Orlando, FL). Each 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 Tangra Broge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tangra Broge accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Mending Health and Oscar Insurance Company list Tangra Broge 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 Tangra Broge was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.