Individual provider Active NPI

Patrick Paul Branagan, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Jenks, OK
National Provider Identifier
1669799441
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
322 Issued in OK
Practice address
512 N Franklin St Ste 200
Jenks, OK 74037-2490
Phone
(918) 582-6800
Fax
(918) 582-6060
NPI assigned
May 3, 2010
Last updated
Nov 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X 322 OK Primary

Addresses

Primary practice location

512 N Franklin St Ste 200
Jenks, OK 74037-2490

Mailing address

2431 E 61St St Ste 500
Tulsa, OK 74136-1208
Phone (918) 582-6800

Other practice location 1

2431 E 61st St Ste 500
Tulsa, OK 74136-1208
Phone (918) 582-6800

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808000924 OK Practitioner - Podiatry 5799928487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Center PCGroup PAC ID 8123915626, 19 clinicians

Practice addresses (Care Compare)

2431 E 61St St
Suite 500
Tulsa, OK 74136-1208
Phone (918) 582-6800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue27
Removal of nail tissue26
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
322OKMDAudiologist
01536MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Feb 1, 2018 Accepting new patients
Orthopaedic Center, PC CurrentSince Sep 1, 2024 Accepting new patients
Orthopaedic Center, PC CurrentSince Sep 1, 2024 Accepting new patients
St. John Broken Arrow, Inc Past Accepting new patients
Bristow Endeavor Healthcare, LLC PastSince Mar 6, 2022 Accepting new patients

Locations

512 N Franklin St
Fl 2
Jenks, OK 74037
Phone (918) 701-2300

512 N Franklin St
Ste 200
Jenks, OK 74037
Phone (918) 701-2387

1401 E Van Buren Ave
McAlester, OK 74501
Phone (918) 421-8440

101 Rockefeller Dr
Ste 204
Muskogee, OK 74401
Phone (918) 681-4488

3506 W Okmulgee St
Muskogee, OK 74401
Phone (918) 682-2468

2431 E 61st St
Ste 500
Tulsa, OK 74136
Phone (918) 925-3243

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1669799441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E 61ST ST STE 500",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361208",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 N FRANKLIN ST STE 200",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740372490",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2431 E 61st St Ste 500",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361208",
            "country_code": "US",
            "telephone_number": "918-582-6800",
            "fax_number": "918-582-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANAGAN",
        "first_name": "PATRICK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OK",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.