Organization Active NPI

Biomatrix LLC

  • General Practice Physician
  • Tulsa, OK
National Provider Identifier
1184250573
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BIOMATRIX LLC
Practice address
9220 S Toledo CT Ste B
Tulsa, OK 74137-2745
Phone
(918) 707-3088
NPI assigned
Mar 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Authorized official

Name
Bradley D Eck, DC
Title
Authorized Official
Phone
(918) 707-3088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

9220 S Toledo CT Ste B
Tulsa, OK 74137-2745

Mailing address

9220 S Toledo CT Ste B
Tulsa, OK 74137-2745
Phone (918) 707-3088

National Provider Directory

National Provider Directory

Locations

9220 S Toledo Ct
Ste B
Tulsa, OK 74137
Phone (918) 558-3088

NPI Registry JSON

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1184250573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 S TOLEDO CT STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372745",
            "telephone_number": "918-707-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 S TOLEDO CT STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372745",
            "telephone_number": "918-707-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOMATRIX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "ECK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "918-707-3088",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; 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.