Bdafok, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BDAFOK, LLC

Practice address

7615 NW 23Rd St
Bethany, OK 73008-4943

Phone

(405) 470-8778

Fax

(405) 730-8071

NPI assigned

Sep 26, 2016

Last updated

Sep 26, 2016By 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

Sheena Colvin

Title

Operations Director

Phone

(405) 470-8778

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474848000000",
    "number": "1962951368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084943",
            "telephone_number": "405-470-8778",
            "fax_number": "405-730-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730084943",
            "telephone_number": "405-470-8778",
            "fax_number": "405-730-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDAFOK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2016-09-26",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "405-470-8778"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobby Ray Bartodej I
• Casey Basden, DPT
• Stephanie Renee Bates
• Ana Maria Bautista-Gutierrez, MD
• Kaitlyn Baxter, PT
• Pamela Beard
• Alfred Marion Beasler III, MHS PA-C
• John E Beavers, MD
• Jamie Beck, PT
• Bryan D Bell, MINT

• Community/Behavioral Health Agency in Bethany, OK
• Providers in Bethany, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; 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.