Organization Active NPI

Jeffrey L. Halford, DO, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Broken Arrow, OK
National Provider Identifier
1689772162
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3924 Issued in OK
Legal business name
JEFFREY L. HALFORD, DO, PLLC
Practice address
701 W Queens St
Broken Arrow, OK 74012-1784
Phone
(918) 794-6008
Fax
(918) 516-3447
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeffrey L Halford, DO
Title
DO
Phone
(918) 779-3963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 3924 OK Primary

Addresses

Primary practice location

701 W Queens St
Broken Arrow, OK 74012-1784

Mailing address

5421 E 120TH St
Tulsa, OK 74137-8804
Phone (918) 779-3963

Other identifiers 1

IdentifierTypeStateIssuer
100126340EMedicaidOK

National Provider Directory

National Provider Directory

Locations

701 W Queens St
Broken Arrow, OK 74012

2121 S Columbia Ave
Ste 501
Tulsa, OK 74114
Phone (918) 615-4015

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689772162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 E 120TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378804",
            "telephone_number": "918-779-3963",
            "fax_number": "918-856-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W QUEENS ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121784",
            "telephone_number": "918-794-6008",
            "fax_number": "918-516-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY L. HALFORD, DO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HALFORD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "918-779-3963",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "3924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126340E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.