Foot and Ankle Clinic of Western Oklahoma, PLLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

230 Issued in OK

Legal business name

FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA, PLLC

Doing business as

Foot & Ankle Clinic of Western Oklahoma

Practice address

900 N Main St
Elk City, OK 73644-9998

Phone

(580) 225-9955

Fax

(580) 225-9954

NPI assigned

May 8, 2008

Last updated

Aug 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Dewayne Nelson, DPMNPI 1285634469

Title

Owner

Phone

(580) 323-5800

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Foot & Ankle Clinic of Western Oklahoma Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bradley D Nelson, DPM

  • Podiatrist
  • Clinton, OK
  • NPI 1285634469
  NPD Authorized official

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1821264920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S 30TH STREET",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "73601",
            "telephone_number": "580-323-5800",
            "fax_number": "580-323-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736449998",
            "telephone_number": "580-225-9955",
            "fax_number": "580-225-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT AND ANKLE CLINIC OF WESTERN OKLAHOMA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-323-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OK",
            "license": "230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026900A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026910A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "200522085",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00162625",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foot & Ankle Clinic of Western Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fisher Chiropractic Clinic Inc.
• Bill Lee Fisher, D.C.
• Tyson Dale Fisher, M.D.
• Micah Foale, PHARMD
• Foot and Ankle Clinic of Western Oklahoma
• Codie Forester
• Brooksley Brown Foster, MSW
• Katie Lauren Franklin
• Sarahgail C Frazier, BS
• Fred Stribling, M.D., P.C.

• Podiatrist in Elk City, OK
• Providers in Elk City, OK by specialty
• Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.