Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Restoration Foot & Ankle PLLC

Organization Foot & Ankle Surgery Podiatrist · NPI 1174705602

Restoration Foot & Ankle PLLC provides Foot & Ankle Surgery Podiatrist services in Broken Arrow, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.

Licensed in
OK
In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 W Boise Cir Ste 150
Broken Arrow, OK 74012-4906 Not confirmed with CMS for 11 years — call before visiting
Phone: (918) 274-1557
Fax: (918) 274-8557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 232 (OK)

Record details

NPI number1174705602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradley Beasley — Owner/Physician · (918) 274-1557
NPI enumeratedNovember 27, 2007
Last updated in NPPESOctober 8, 2014
Mailing addressPo Box 3500, Dept No 618, Claremore, OK 74018-3500

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