Bristow Endeavor Healthcare, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

BRISTOW ENDEAVOR HEALTHCARE, LLC

Practice address

3029 W. Main Street
Jenks,, OK 74037

Phone

(918) 701-2300

Fax

(918) 417-7104

NPI assigned

Jan 18, 2018

Organization subpart

Yes

Parent organization

BRISTOW ENDEAVOR HEALTHCARE, LLCAs reported in NPPES

Name

Melinda Kay Whitaker

Title

Credentialing Coordinator

Phone

(918) 701-2313

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bristow Endeavor Healthcare, LLC

  • Family Medicine Physician
  • Bristow, OK
  • NPI 1265863583
  NPPES parent name

Part of

Bristow Endeavor Hlthcr LLC

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IAJJBD

• Center for Orthopaedic Reconstruction and Excellence Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2022.

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1114435666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044431",
            "telephone_number": "918-701-2302",
            "fax_number": "539-235-0028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 W. MAIN STREET",
            "city": "JENKS,",
            "state": "OK",
            "postal_code": "74037",
            "telephone_number": "918-701-2300",
            "fax_number": "918-417-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOW ENDEAVOR HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOW ENDEAVOR HEALTHCARE, LLC",
        "enumeration_date": "2018-01-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "918-701-2313"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Orthopaedic Reconstruction and Excellence",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center for Orthopaedic Reconstruction and Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gwendolyn Ann Boyd, OTR
• Donna C Bradley, RN, IBCLC
• Patrick Paul Branagan, D.P.M.
• Savannah Clay Brian
• Kimberly Lynn Briguccia, PT
• Bristow Endeavor Healthcare, LLC
• Melissa Ann Broaddus, MSW
• Brookshire Grocery Company
• Amy Marie Brown, MHR, LPC
• Mackenzie Brubaker, CRNA

• All providers in Jenks,, OK
• Special Hospital in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.