OrganizationActive
Jerry C Bouman DO PC
NPI 1053522193 · Surgery Physician · Jenks, OK
Jerry C Bouman DO PC is a Surgery Physician organization in Jenks, OK (NPI 1053522193).
Provider details
- NPI number
- 1053522193
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Bouman, Physician(918) 296-0900
- License
- 2996 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
715 W Main St
Suite H
Jenks, OK 74037-3554
Phone: (918) 296-0900
Fax: (918) 296-0985
Street-level locationGet directions
Mailing address
Po Box 21568
Tulsa, OK 74121-1568
Registry dates
- Enumerated
- 2007-05-24
- Last updated
- 2020-08-22
Frequently asked questions
- What is Jerry C Bouman DO PC's NPI number?
- Jerry C Bouman DO PC's National Provider Identifier (NPI) is 1053522193, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry C Bouman DO PC?
- Jerry C Bouman DO PC is classified in the NPPES registry as Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Jerry C Bouman DO PC located?
- Jerry C Bouman DO PC's practice location on file with NPPES is 715 W Main St, Jenks, OK 74037-3554.
- What is Jerry C Bouman DO PC's phone number?
- The practice phone number listed in the NPPES registry for Jerry C Bouman DO PC is (918) 296-0900.
- Who is the authorized official for Jerry C Bouman DO PC?
- The authorized official listed on Jerry C Bouman DO PC's NPPES record is Jerry Bouman, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry C Bouman DO PC's NPI active?
- Yes — Jerry C Bouman DO PC's NPI (1053522193) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.