OrganizationActive
Bedside Manner LLC
NPI 1336983899 · Family Medicine Physician · Glenpool, OK
Provider details
- NPI number
- 1336983899
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Wolff, Ceo(918) 528-5500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Infusion Therapy Clinic/Center261QI0500X
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
550 W 125th Pl S Ste 202
Glenpool, OK 74033-5023
Phone: (918) 528-5500
Fax: (918) 372-9254
Approximate (ZIP-level) locationGet directions
Mailing address
550 W 125th Pl S Ste 202
Glenpool, OK 74033-5023
Registry dates
- Enumerated
- 2024-06-20
- Last updated
- 2025-08-06
- Certified
- 2025-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.