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SOUTHBROOK FAMILY PHYSICIANS PLLC
NPI 1871686428
Family Medicine in Tulsa, OK

Active since October 02, 2006CLIA 37D1003783 · Waiver
8803 S. 101ST E. AVE., SUITE #130, TULSA, OK 74133(918) 459-0027(918) 250-0457 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southbrook Family Physicians Pllc NPPES

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

SOUTHBROOK FAMILY PHYSICIANS PLLC (NPI 1871686428) is a healthcare organization registered as a family medicine in Tulsa, Oklahoma and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through September 10, 2026 and lists James R Beymer, Physician, as its authorized official.

NPPES Registry Identity

NPI1871686428
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHBROOK FAMILY PHYSICIANS PLLC
Location Address8803 S. 101ST E. AVE., SUITE #130Tulsa, OK 74133-5728
Mailing Address8803 S. 101st E. Ave., Suite #130Tulsa, OK 74133-5728 · (918) 459-0027 · Fax (918) 250-0457
Phone(918) 459-0027
Fax(918) 250-0457
Organization SubpartNo
Authorized OfficialJames R BeymerPhysician · (918) 459-0027
Enumeration DateOctober 2, 2006
Last NPPES UpdateMay 6, 2009
✔ NPI 1871686428 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.
8803 S. 101ST E. AVE., Tulsa, OK 74133
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Other Identifiers 1

Medicare ID-Type Unspecified700522067OK

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D1003783

Southbrook Family Physicians · Broken Arrow, OK
Active · expires Sep 10, 2026
CLIA Number37D1003783
Laboratory TypePhysician Office
Certificate Effective DateSeptember 11, 2024
Certificate Expiration DateSeptember 10, 2026
Laboratory DirectorJoel A. Adkisson
Laboratory Phone(918) 459-0027
Laboratory LocationSouthbrook Family Physicians517 South Aspen Avenue, Broken Arrow, OK 74012
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
8803 S. 101ST E. AVE., SUITE 165
TULSA, OK 74133
Tulsa County (918) 561-8306
CHILDREN & ADOLESCENT MEDICAL SERVICES INC.
Pediatrics (Adolescent Medicine)
8803 S. 101ST E. AVE., SUITE 200
TULSA, OK 74133
Tulsa County (918) 307-2273

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 Southbrook Family Physicians PLLC's NPI number?

The NPI number for Southbrook Family Physicians PLLC is 1871686428. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Southbrook Family Physicians PLLC located?

Southbrook Family Physicians PLLC is located at 8803 S. 101st E. Ave. Suite #130, Tulsa, OK 74133. The listed phone number is (918) 459-0027.

What is Southbrook Family Physicians PLLC's specialty?

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

Does Southbrook Family Physicians PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D1003783) is associated with this NPI, valid through September 10, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southbrook Family Physicians PLLC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.