Organization Active NPI

Bellhaven Medical Spa, LLC

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1992063655
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4173 Issued in OK
Legal business name
BELLHAVEN MEDICAL SPA, LLC
Practice address
1878 E. 15TH St.
Tulsa, OK 74104
Phone
(918) 938-7026
Fax
(918) 938-7748
NPI assigned
May 1, 2012
Organization subpart
Yes
Parent organization
BELLHAVEN MEDICAL SPA, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Frank Wroberson Bell, DONPI 1578670402
Title
President/Physician
Phone
(918) 697-6889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4173 OK Primary

Addresses

Primary practice location

1878 E. 15TH St.
Tulsa, OK 74104

Mailing address

1878 E. 15TH St.
Tulsa, OK 74104
Phone (918) 938-7026

National Provider Directory

National Provider Directory
Part of
Bellhaven Medical Spa LLC

Locations

1878 E 15th St
Tulsa, OK 74104
Phone (918) 697-6889

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1992063655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 E. 15TH ST.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-938-7026",
            "fax_number": "918-938-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 E. 15TH ST.",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-938-7026",
            "fax_number": "918-938-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLHAVEN MEDICAL SPA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BELLHAVEN MEDICAL SPA, LLC",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "WROBERSON",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "918-697-6889",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.