IndividualActive
Alan Brokenicky, PA
NPI 1184889768 · Physician Assistant · Tulsa, OK
Provider details
- NPI number
- 1184889768
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 1752 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9912 E 21st St
Tulsa, OK 74129-1620
Phone: (918) 622-0641
Approximate (ZIP-level) locationGet directions
Mailing address
1705 E 19th St
Tulsa, OK 74104-5410
Registry dates
- Enumerated
- 2008-07-23
- Last updated
- 2017-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.