OrganizationActive
Bristow Endeavor Healthcare, LLC
NPI 1275093098 · Family Medicine Physician · Prague, OK
Provider details
- NPI number
- 1275093098
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Bristow Endeavor Healthcare, LLC
- Organization subpart
- Yes
- Authorized official
- Melinda Whitaker, Credentialing Coordinator(918) 701-2313
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
810 9th St
Prague, OK 74864-4582
Phone: (405) 566-3411
Fax: (405) 566-3410
Street-level locationGet directions
Mailing address
1809 E 13th St Ste 300
Tulsa, OK 74104-4431
Other names (DBA / former)
- Doing business as
- Prague Healthcare Center
- Doing business as
- Prague Healthcare Center
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.