NPIMap

Organization Active NPI

NR Midwest City LLC

  • Physical Medicine & Rehabilitation Physician
  • Midwest City, OK
National Provider Identifier
1558063784
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NR MIDWEST CITY LLC
Doing business as
NERVE RENEWAL MIDWEST CITY
Practice address
8121 National Ave Ste 105
Midwest City, OK 73110-7570
Phone
(405) 694-4042
NPI assigned
Mar 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Timothy Coit Bales, CEO
Title
Ceo
Phone
(405) 953-7221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

8121 National Ave Ste 105
Midwest City, OK 73110-7570

Mailing address

3705 NW 63Rd St Ste 200
Oklahoma City, OK 73116-1937
Phone (405) 953-7221

Other names 1

  • NERVE RENEWAL MIDWEST CITY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230504003259 OK Part B Supplier - Clinic/Group Practice 9830554377 Receives reassigned benefits from 8 practitioners
Practice locations: Midwest City, OK

National Provider Directory

National Provider Directory

Locations

8121 National Ave
Ste 203
Midwest City, OK 73110

Practitioners & affiliated clinicians

Practitioners 9

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": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1558063784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-953-7221",
            "fax_number": "405-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE STE 105",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107570",
            "telephone_number": "405-694-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR MIDWEST CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-21",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "COIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-953-7221",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NERVE RENEWAL MIDWEST CITY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NERVE RENEWAL MIDWEST CITY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.