OrganizationActive
Regeneration Nation Tulsa LLC
NPI 1205591708 · Allergy & Immunology Physician · Tulsa, OK
Provider details
- NPI number
- 1205591708
- Entity type
- Organization
- Primary specialty
- Allergy & Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Brian Roadhouse, Owner/President(918) 481-2772
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
6565 S Yale Ave Ste 104
Tulsa, OK 74136-8302
Phone: (918) 481-2772
Fax: (918) 481-2774
Street-level locationGet directions
Mailing address
6565 S Yale Ave Ste 104
Tulsa, OK 74136-8302
Registry dates
- Enumerated
- 2021-11-01
- Last updated
- 2025-10-29
- Certified
- 2025-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.