NPIMap

Organization Active NPI

Apex Wound Specialists LLC

  • Clinic/Center
  • Broken Arrow, OK
National Provider Identifier
1902630122
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
APEX WOUND SPECIALISTS LLC
Practice address
4312 S Retana Ave
Broken Arrow, OK 74011-1397
Phone
(918) 720-4957
NPI assigned
Aug 29, 2024
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Mr. Donald R Brown Jr.
Title
President/Ceo
Phone
(918) 720-4957

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4312 S Retana Ave
Broken Arrow, OK 74011-1397

Mailing address

4312 S Retana Ave
Broken Arrow, OK 74011-1397
Phone (918) 720-4957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, OK, NV, AR, FL, TX6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20241003001298 KS Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 1 practitioner
Practice locations: Overland Park, KS
O20241007003803 OK Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 6 practitioners
Practice locations: Tulsa, OK
O20241008001555 NV Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 2 practitioners
Practice locations: Henderson, NV
O20241008003008 AR Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 2 practitioners
Practice locations: Mena, AR
O20250715002160 FL Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL
O20251114000965 TX Part B Supplier - Clinic/Group Practice 4183155922 Receives reassigned benefits from 2 practitioners
Practice locations: Texarkana, TX

National Provider Directory

National Provider Directory

Locations

7233 S 85th East Ave
Ste 100
Tulsa, OK 74133
Phone (918) 720-4957

3003 Richmond Rd
Texarkana, TX 75503
Phone (918) 740-9476

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1902630122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 S RETANA AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111397",
            "telephone_number": "918-720-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4312 S RETANA AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740111397",
            "telephone_number": "918-720-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX WOUND SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "918-720-4957",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 11, 2025; 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.