Green Country Infectious Disease PC
NPI 1639639321 · Infectious Disease Physician · Broken Arrow, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Green Country Infectious Disease PC is a Infectious Disease Physician organization in Broken Arrow, OK (NPI 1639639321).
Provider details
- NPI number
- 1639639321
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Janice Bracken, Credentialing(918) 448-6160
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
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
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 5908 S 298th East AveBroken Arrow, OK 74014-8405Phone: (918) 872-8822Fax: (918) 872-8823
Registry dates
- Enumerated
- 2019-03-20
- Last updated
- 2019-04-03
Frequently asked questions
- What is Green Country Infectious Disease PC's NPI number?
- Green Country Infectious Disease PC's National Provider Identifier (NPI) is 1639639321, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Country Infectious Disease PC?
- Green Country Infectious Disease PC is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Green Country Infectious Disease PC located?
- Green Country Infectious Disease PC's practice location on file with NPPES is 421 Stone Wood Dr, Broken Arrow, OK 74012-1026.
- What is Green Country Infectious Disease PC's phone number?
- The practice phone number listed in the NPPES registry for Green Country Infectious Disease PC is (918) 872-8822.
- Does Green Country Infectious Disease PC accept Medicare?
- Green Country Infectious Disease PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Green Country Infectious Disease PC?
- The authorized official listed on Green Country Infectious Disease PC's NPPES record is Janice Bracken, Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Country Infectious Disease PC's NPI active?
- Yes — Green Country Infectious Disease PC's NPI (1639639321) is active in the NPPES registry as of the last update on 2019-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.