Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Broken Arrow Family Clinic Inc

Organization Family Medicine Physician · NPI 1497966303

Broken Arrow Family Clinic Inc provides Family Medicine Physician services in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

705 W Oakland St
Broken Arrow, OK 74012-1656
Phone: (918) 251-2666
Fax: (918) 258-7790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 3252 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1577 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1530 (OK)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1827 (OK)

Record details

NPI number1497966303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Coder — President · (918) 251-2666
NPI enumeratedMay 24, 2007
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023
Mailing address705 W Oakland St, Broken Arrow, OK 74012-1656

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