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

Southcrest Medical Group LLC

Organization General Practice Physician · NPI 1992736250

Southcrest Medical Group LLC provides General Practice Physician services in Tulsa, Oklahoma. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6528 E 101st St Ste I
Tulsa, OK 74133-6724 Not confirmed with CMS for 18 years — call before visiting
Phone: (918) 294-4803
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1992736250
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Brewer — Director Of Provider Enrollment · (877) 892-9813
NPI enumeratedJuly 5, 2006
Last updated in NPPESApril 20, 2008
Mailing address7100 Commerce Way, Suite 180, Brentwood, TN 37027-2829

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