Foot & Ankle Clinic of Western Oklahoma PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC

Doing business as

Foot and Ankle Clinic of Western Oklahoma

Practice address

207 S 30TH Street
Clinton, OK 73601-3657

Phone

(580) 323-5800

Fax

(580) 323-5802

NPI assigned

Aug 1, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bradley D Nelson, DPMNPI 1285634469

Title

Provider/Owner

Phone

(580) 323-5800

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Foot and Ankle Clinic of Western Oklahoma Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Tax ID family

Foot Ankle Clin of West Ok2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Foot and Ankle Clinic of Western Oklahoma

  • Podiatrist
  • Elk City, OK
  • NPI 1518132885
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley D Nelson, DPM

  • Podiatrist
  • Clinton, OK
  • NPI 1285634469
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1013917012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 SOUTH 30TH STREET",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "73601",
            "telephone_number": "580-323-5800",
            "fax_number": "580-323-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S 30TH STREET",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013657",
            "telephone_number": "580-323-5800",
            "fax_number": "580-323-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE CLINIC OF WESTERN OKLAHOMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-01",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "580-323-5800",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00162625",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot and Ankle Clinic of Western Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Rose Fisher
• Lyndi Fisher
• Carolyn Fletcher, BSN, RN, CDCES
• Kateri D Fletcher, BS
• Rosemary Flores
• Robert William Ford
• Jentri Foster
• Ross Foster, DPH
• Verna Kay Foust, L.P.C., L.B.P.
• Frankberg Clinton LLC

• Podiatrist in Clinton, OK
• Providers in Clinton, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.