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SOUTHCREST MEDICAL GROUP LLC
NPI 1992736250
General Practice in Tulsa, OK

Active since July 05, 2006
6528 E 101ST ST, STE I, TULSA, OK 74133(918) 294-4803 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Southcrest Medical Group Llc NPPES

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

SOUTHCREST MEDICAL GROUP LLC (NPI 1992736250) is a healthcare organization registered as a general practice in Tulsa, Oklahoma and active in the NPI registry since July 2006. The organization lists Debbie Brewer, Director Of Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1992736250
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTHCREST MEDICAL GROUP LLC
Location Address6528 E 101ST ST, STE ITulsa, OK 74133-6724
Mailing Address7100 Commerce Way, Suite 180Brentwood, TN 37027-2829
Phone(918) 294-4803
Organization SubpartNo
Authorized OfficialDebbie BrewerDirector Of Provider Enrollment · (877) 892-9813
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1992736250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
6528 E 101ST ST, Tulsa, OK 74133
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JOHN KELLEY GEARHART M.D.
Family Medicine
6528 E 101ST ST, STE I
TULSA, OK 74133
Tulsa County (918) 392-5588
MR. DAVID BRIAN RALEY MD
Pediatrics
6528 E 101ST ST, STE D-1, PMB#419
TULSA, OK 74133
Tulsa County (918) 398-7170
AVALON PARK PEDIATRICS
Pediatrics
6528 E 101ST ST, SUITE D-1, PMB 419
TULSA, OK 74133
Tulsa County (918) 398-7170

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 Southcrest Medical Group LLC's NPI number?

The NPI number for Southcrest Medical Group LLC is 1992736250. It was assigned to this organization in the NPPES registry on July 5, 2006.

Where is Southcrest Medical Group LLC located?

Southcrest Medical Group LLC is located at 6528 E 101st St Ste I, Tulsa, OK 74133. The listed phone number is (918) 294-4803.

What is Southcrest Medical Group LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Southcrest Medical Group LLC was last updated on April 20, 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.