Organization Active NPI

NR Norman LLC

  • Family Medicine Physician
  • Norman, OK
National Provider Identifier
1942919998
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NR NORMAN LLC
Practice address
640 24TH Ave SW
Norman, OK 73069-3913
Phone
(405) 295-7833
Fax
(405) 669-3517
NPI assigned
Nov 18, 2022
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Timothy Coit Bales, CEO/OWNER
Title
Ceo
Phone
(405) 953-7221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary
Physical Medicine & Rehabilitation Physician 208100000X NU

Addresses

Primary practice location

640 24TH Ave SW
Norman, OK 73069-3913

Mailing address

3705 NW 63Rd St Ste 200
Oklahoma City, OK 73116-1937
Phone (405) 953-7221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230410001916 OK Part B Supplier - Clinic/Group Practice 3072988898 Receives reassigned benefits from 4 practitioners
Practice locations: Norman, OK

National Provider Directory

National Provider Directory

Locations

3908 N Peniel Ave
Ste 450
Bethany, OK 73008

4019 N Flood Ave
Norman, OK 73069
Phone (405) 253-5076

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1942919998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 NW 63RD ST STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161937",
            "telephone_number": "405-953-7221",
            "fax_number": "405-669-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 24TH AVE SW",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730693913",
            "telephone_number": "405-295-7833",
            "fax_number": "405-669-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NR NORMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "BALES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "COIT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-953-7221",
        "authorized_official_credential": "CEO/OWNER"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.