Bristow Endeavor Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BRISTOW ENDEAVOR HEALTHCARE, LLC

Doing business as

Bristow Family Practice/Urgent Care

Practice address

519 N Main St
Bristow, OK 74010-2016

Phone

(918) 367-6611

Fax

(918) 367-9915

NPI assigned

Feb 16, 2018

Last updated

Mar 10, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BRISTOW ENDEAVOR HEALTHCARE, LLCAs reported in NPPES

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

Authorized official

Name

Jan E. Winter

Title

Ceo

Phone

(918) 367-2215

Specialties & licenses 2

Addresses

Other names 1

• Bristow Family Practice/Urgent Care Doing business as

Part of

Bristow Endeavor Healthcare LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Bristow Endeavor Healthcare, LLC

  dba Bristow Family Practice, Urgent Care

  • Family Medicine Physician
  • Bristow, OK
  • NPI 1265863583
  NPPES parent name

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1942700919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 E 13TH ST STE 300",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741044431",
            "telephone_number": "918-701-2313",
            "fax_number": "918-513-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 N MAIN ST",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740102016",
            "telephone_number": "918-367-6611",
            "fax_number": "918-367-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOW ENDEAVOR HEALTHCARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRISTOW ENDEAVOR HEALTHCARE, LLC",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "WINTER",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "918-367-2215"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristow Family Practice/Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Deeann Bond, DPH
• Margaret Leigh Brewer
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• Bristow Endeavor Healthcare, LLC (Bristow Family Practice, Urgent Care)
• Bristow Healthcare Properties LLC (Bristow Medical Center Home Health)
• Bristow Healthcare Properties, LLC (Bristow Memorial Hospital Swingbed)
• Bristow Healthcare Properties, LLC (Bristow Memorial Center)
• Bristow Medical Center Operating Company (Bristow Medical Center)
• Bristow Medical Center Operating Company (Bristow Medical Center)

• Family Medicine Physician in Bristow, OK
• Providers in Bristow, 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 Mar 10, 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.