Bernard Michael Tougas Jr., D.C, P.A.-C
Individual provider Active NPI Physician Assistant · Roland, OK
NPI 1366434680 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1366434680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1536 (OK)
- Practice address
- 205 E Ray Fine Blvd
Roland, OK 74954-5181 - Phone
- (918) 503-6235
- NPI assigned
- Aug 22, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Chicago College of Medicine and Surgery, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Leflore County Hospital Authority
Practice addresses (Care Compare)
PO Box
Poteau, OK 74953
Hospital & facility affiliations
- Mercy Hospital Fort Smith
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240109002585 | OK | Practitioner - Family Practice | 1951322635 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3388 | OK | MD | Chiropractor |
| 1462 | AR | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leflore County Hospital Authority | Current |
Accepting new patients | |
| Leflore County Hospital Authority | Current |
Accepting new patients | |
| Terry Brackman DO Inc. | Past |
Accepting new patients | |
| United Pain Care Fort Smith | Past | Accepting new patients | |
| Leflore County Hospital Authority | Past | Accepting new patients | |
| Tougas Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| St. Madron Medical Clinic | Past | Accepting new patients |
Locations
105 Wall St
Poteau, OK 74953
Phone (918) 635-3100
104 Wall St
Poteau, OK 74953
Phone (918) 635-3578
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1462 | AR | |
| Chiropractor | 111N00000X | 3388 | OK | |
| Physician Assistant | 363A00000X | 1536 | OK | Yes |
Addresses
Primary practice location
205 E Ray Fine Blvd
Roland, OK 74954-5181
Mailing address
PO Box 5437
Fort Smith, AR 72913-5437
Phone (918) 503-5235
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 146137718 | Medicaid | AR | |
| 621705485 | Other | AR | PRIVATE INSURES |
Other providers in Roland, OK
- Holly Ann Sutton
- Jennifer Taber
- Candace Thomas
- Heather Torres
- Tougas Chiropractic Clinic
- Jamy Liane Tougas
- Trumotion Therapy Services, PLLC
- Ucr Medical, Inc
- Deanna Fay Vann-Vest
- Rhonda Vanzandt
All providers in Roland, OK · Physician Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.