Patrick Paul Branagan, D.P.M.
Individual provider Active NPI Primary Podiatric Medicine Podiatrist · Jenks, OK
NPI 1669799441 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1669799441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Podiatric Medicine Podiatrist 213EP1101X
- License
- 322 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 PC
Practice addresses (Care Compare)
2431 E 61St St
Suite 500
Tulsa, OK 74136-1208
Phone (918) 582-6800
Hospital & facility affiliations
- Ascension St John Broken Arrow
- Saint Francis Hospital Muskogee
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Removal of tissue | 27 |
| Removal of nail tissue | 26 |
| Removal or shaving of skin growth | 1-10 |
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160808000924 | OK | Practitioner - Podiatry | 5799928487 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 322 | OK | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Center, PC | Current |
Accepting new patients | |
| Orthopaedic Center, PC | Current |
Accepting new patients | |
| Warren Clinic Inc | Current |
Accepting new patients | |
| Bristow Endeavor Healthcare, LLC | Past |
Accepting new patients | |
| St. John Broken Arrow, Inc | Past | 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
6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125
2431 E 61st St
Ste 500
Tulsa, OK 74136
Phone (918) 925-3243
715 N Foreman St
Vinita, OK 74301
Phone (918) 256-8477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 322 | OK | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E602 | Other | MD | NATIONAL CAP BLUE |
| H792 | Other | MD | BLUE CROSS |
Other providers in Jenks, OK
- Blue Lotus Therapeutic Services, PC
- Megan Bosch
- Crystal Michelle Bowen
- Gwendolyn Ann Boyd
- Donna C Bradley
- Savannah Clay Brian
- Kimberly Lynn Briguccia
- Bristow Endeavor Healthcare, LLC
- Bristow Endeavor Healthcare, LLC
- Melissa Ann Broaddus
All providers in Jenks, OK · Primary Podiatric Medicine Podiatrist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 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.