Active NPI
Bryan Kent Ledbetter, D.O.
- Family Medicine Physician
- Jenks, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4427
- Practice address
- 9222 S Elwood Ave Ste C
Jenks, OK 74037-2369 - Phone
- (918) 322-0099
- Fax
- (918) 921-8826
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4427 | OK | Primary |
Addresses
Primary practice location
9222 S Elwood Ave Ste C
Jenks, OK 74037-2369
Mailing address
9222 S Elwood Ave Ste C
Jenks, OK 74037-2369
Phone (918) 322-0099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200099790C | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Arkansas Verdigris Valley Health Centers, Inc.
Practice addresses (Care Compare)
201 N 32ND St
Muskogee, OK 74401-2104
Phone (918) 912-2333
505 S Main St
Porter, OK 74454-1015
Phone (918) 483-0111
607 S Broadway
Coweta, OK 74429-5000
Phone (918) 486-5564
9222 S Elwood Ave
Suite C
Jenks, OK 74037-2369
Phone (918) 322-0099
PO Box
Porter, OK 74454
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4427 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arkansas Verdigris Valley Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| King's Court Family Medicine | Family Medicine | Current | Accepting new patients |
| Prophylaxis Healthcare LLC | Current | Accepting new patients | |
| Arkansas Verdigris Valley Health Centers, Inc. | Family Medicine | Current | Accepting new patients |
| Prophylaxis Healthcare LLC | Family Medicine | Current | Accepting new patients |
| Arkansas Verdigris Valley Health Centers,Inc. | Family Medicine | Current | Accepting new patients |
| Okmulgee Emergency PLLC | Past | Accepting new patients |
Locations
1407 SE Washington Blvd
Bartlesville, OK 74006
Phone (918) 335-2273
11911 S Memorial Dr
Bixby, OK 74008
Phone (918) 497-3700
607 S Broadway
Coweta, OK 74429
Phone (918) 279-6675
9222 S Elwood Ave
Ste C
Jenks, OK 74037
Phone (918) 322-0099
110 W Martin Luther King St
Muskogee, OK 74401
Phone (918) 483-0111
201 N 32nd St
Muskogee, OK 74401
Phone (918) 912-2333
211 S Mill St
Pryor, OK 74361
Phone (918) 825-3777
303 E Taft Ave
Ste 3
Sapulpa, OK 74066
Phone (918) 224-2222
505 S Main St
Tullahassee, OK 74454
Phone (918) 483-0111
220 W 71st St
Ste 2
Tulsa, OK 74132
Phone (918) 584-8522
Interoperability endpoints
- bledbetter@yourcarecommunity.org
- bryan.ledbetter.1@25507.direct.athenahealth.com
- https://api.platform.athenahealth.com/13866/brand/1/csg/1/fhir/r4
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Porter, OK
- NPI 1083740047
-
- Family Medicine Physician
- Jenks, OK
- NPI 1235468745
-
dba Axis HealthCare
- Multi-Specialty Clinic/Center
- Bixby, OK
- NPI 1538453923
Family Medicine
-
dba Coweta Health Center
- Family Medicine Physician
- Coweta, OK
- NPI 1346712072
-
dba Muskogee Health Center West
- Family Medicine Physician
- Muskogee, OK
- NPI 1568976991
-
dba Axis Behavioral Health
- Community/Behavioral Health Agency
- Bixby, OK
- NPI 1285438317
-
- Emergency Medical Services (Emergency Medicine) Physician
- Okmulgee, OK
- NPI 1609865666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1194807024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9222 S ELWOOD AVE STE C",
"city": "JENKS",
"state": "OK",
"postal_code": "740372369",
"telephone_number": "918-322-0099",
"fax_number": "918-921-8826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9222 S ELWOOD AVE STE C",
"city": "JENKS",
"state": "OK",
"postal_code": "740372369",
"telephone_number": "918-322-0099",
"fax_number": "918-921-8826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDBETTER",
"first_name": "BRYAN",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200099790C",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.