Broken Arrow Diagnostic Medicine, PLLC
NPI 1710322672 · Family Medicine Physician · Broken Arrow, OK
Broken Arrow Diagnostic Medicine, PLLC is a Family Medicine Physician organization in Broken Arrow, OK (NPI 1710322672).
Provider details
- NPI number
- 1710322672
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jacob Callison, Managing Member(918) 994-5140
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
13 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
Mailing address
Registry dates
- Enumerated
- 2013-05-06
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Frequently asked questions
- What is Broken Arrow Diagnostic Medicine, PLLC's NPI number?
- Broken Arrow Diagnostic Medicine, PLLC's National Provider Identifier (NPI) is 1710322672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broken Arrow Diagnostic Medicine, PLLC?
- Broken Arrow Diagnostic Medicine, PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Broken Arrow Diagnostic Medicine, PLLC located?
- Broken Arrow Diagnostic Medicine, PLLC's practice location on file with NPPES is 5050 E Kenosha St, Broken Arrow, OK 74014-6711.
- What is Broken Arrow Diagnostic Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Broken Arrow Diagnostic Medicine, PLLC is (918) 994-5140.
- Who is the authorized official for Broken Arrow Diagnostic Medicine, PLLC?
- The authorized official listed on Broken Arrow Diagnostic Medicine, PLLC's NPPES record is Jacob Callison, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broken Arrow Diagnostic Medicine, PLLC's NPI active?
- Yes — Broken Arrow Diagnostic Medicine, PLLC's NPI (1710322672) is active in the NPPES registry as of the last update on 2024-10-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.