IndividualActive
Breanna Brumley, PA-C
NPI 1508168964 · Medical Physician Assistant · Tulsa, OK
Provider details
- NPI number
- 1508168964
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PT2020-062 (AR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9709 E 79th St
Tulsa, OK 74133-4566
Phone: (918) 994-4000
Approximate (ZIP-level) locationGet directions
Mailing address
9709 E 79th St
Tulsa, OK 74133-4566
Registry dates
- Enumerated
- 2010-11-17
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.