Southbrook Family Physicians PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHBROOK FAMILY PHYSICIANS PLLC

Practice address

8803 S. 101St E. Ave.
Suite #130
Tulsa, OK 74133-5728

Phone

(918) 459-0027

Fax

(918) 250-0457

NPI assigned

Oct 2, 2006

Last updated

May 6, 2009By 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

James R Beymer, D.O.

Title

Physician

Phone

(918) 459-0027

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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.

• Joel A Adkisson, D.O.

  • Family Medicine Physician
  • Broken Arrow, OK
  • NPI 1861468548
  Medicare reassignment
• Clell W Pond, DO

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tulsa, OK
  • NPI 1093795510
  Medicare reassignment

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1871686428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8803 S. 101ST E. AVE.",
            "address_2": "SUITE #130",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335728",
            "telephone_number": "918-459-0027",
            "fax_number": "918-250-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8803 S. 101ST E. AVE.",
            "address_2": "SUITE #130",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335728",
            "telephone_number": "918-459-0027",
            "fax_number": "918-250-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBROOK FAMILY PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "BEYMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-459-0027",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southard Family Dental, LLC
• Denny W Southard, DDS
• Kinsley Southard
• Laurie Lynn Southard, BS, MS, DDS
• Wrany R Southard, D.D.S., P.C.
• Southcrest Anesthesia Group LLC
• Southcrest Dialysis LLC (Southcrest Dialysis)
• Southcrest Emergency Physicians PC
• Southcrest LLC (SouthCrest Hospital)
• Southcrest LLC

• Family Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.