Individual provider Active NPI

Bryan Kent Ledbetter, D.O.

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1194807024
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4427 Issued in OK
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200099790CMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081016000447 OK Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 5597823716 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
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.Group PAC ID 2961594916, shared by 4 NPIs, 12 clinicians

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

LicenseStateTypeSpecialty
4427OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arkansas Verdigris Valley Health Centers, Inc. Family Medicine Current Accepting new patients
King's Court Family Medicine Family Medicine CurrentSince Feb 18, 2010 Accepting new patients
Prophylaxis Healthcare LLC CurrentSince Sep 1, 2022 Accepting new patients
Arkansas Verdigris Valley Health Centers, Inc. Family Medicine CurrentSince Jan 3, 2023 Accepting new patients
Prophylaxis Healthcare LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
Arkansas Verdigris Valley Health Centers,Inc. Family Medicine CurrentSince Jan 3, 2023 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

  • Direct secure messaging: bledbetter@yourcarecommunity.org
  • Direct secure messaging: bryan.ledbetter.1@25507.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.