OrganizationActive
Broken Arrow Pain Specialist, LLC
NPI 1104549427 · Pain Medicine Physician · Broken Arrow, OK
Provider details
- NPI number
- 1104549427
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ladd Atkins, Owner(918) 361-4284
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1129 S Aspen Ave
Broken Arrow, OK 74012-4859
Phone: (539) 367-1253
Fax: (539) 367-3311
Street-level locationGet directions
Mailing address
1129 S Aspen Ave
Broken Arrow, OK 74012-4859
Registry dates
- Enumerated
- 2022-09-21
- Last updated
- 2022-09-21
- Certified
- 2022-09-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.