NR Bartlesville LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

NR BARTLESVILLE LLC

Practice address

4140 SE Adams Rd Ste 110
Bartlesville, OK 74006-8450

Phone

(918) 936-2991

Fax

(405) 669-3517

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Timothy Coit Bales

Title

Ceo/Owner

Phone

(405) 953-7221

Specialties & licenses 2

Addresses

Other names 1

• Nerve Renewal Bartlesville Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 5

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

• Nicki Carriere, MSN, FNP-C

  • Family Nurse Practitioner
  • Ponca City, OK
  • NPI 1326528266
  Medicare reassignment Care Compare group NPD
• Elizabeth Martin, APRN

  • Primary Care Nurse Practitioner
  • Bartlesville, OK
  • NPI 1285128090
  Medicare reassignment Care Compare group NPD
• Robert G Stepp Jr., MD

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1417917113
  Medicare reassignment NPD
• Mark R Woodson, MD

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1225032246

  Family Medicine

  Medicare reassignment NPD
• Latrica Friley Dorsey, MSN

  • Gerontology Nurse Practitioner
  • Oklahoma City, OK
  • NPI 1538696083
  NPD

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1114769189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-953-7221",
            "fax_number": "405-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 SE ADAMS RD STE 110",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740068450",
            "telephone_number": "918-936-2991",
            "fax_number": "405-669-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR BARTLESVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "COIT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "405-953-7221"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nerve Renewal Bartlesville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nerve Renewal Bartlesville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Max Noble, D.D.S.
• Khyrstee Daven Norman
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• Nujoint LLC
• Tracey Nunez, DPH
• Samantha K Nunn
• Nursefinders, LLC

• Physical Medicine & Rehabilitation Physician in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.