Organization Active NPI

Wilson Family Medical Care

  • Family Medicine Physician
  • Okmulgee, OK
National Provider Identifier
1487595351
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILSON FAMILY MEDICAL CARE
Practice address
112 W 5TH St
Okmulgee, OK 74447-7301
Phone
(918) 752-1080
Fax
(918) 752-1081
NPI assigned
Apr 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Megan Breffney WilsonNPI 1013283209
Title
DO
Phone
(918) 752-1080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

112 W 5TH St
Okmulgee, OK 74447-7301

Mailing address

112 W 5TH St
Okmulgee, OK 74447-7301
Phone (918) 752-1080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260508003928 OK Part B Supplier - Clinic/Group Practice 1557839388 Receives reassigned benefits from 1 practitioner
Practice locations: Okmulgee, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1775174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1487595351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W 5TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744477301",
            "telephone_number": "918-752-1080",
            "fax_number": "918-752-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W 5TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744477301",
            "telephone_number": "918-752-1080",
            "fax_number": "918-752-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON FAMILY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-03",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "BREFFNEY",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "918-752-1080"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.