IndividualActive
Madison Gerdom
NPI 1770173155 · Behavior Technician · Broken Arrow, OK
Madison Gerdom is a Behavior Technician provider in Broken Arrow, OK (NPI 1770173155).
Provider details
- NPI number
- 1770173155
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
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
5 yrs in NPPES registry
- Profile completeness38% of score
83% 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
308 N Aspen Ave
Broken Arrow, OK 74012-2205
Phone: (539) 777-0940
Street-level locationGet directions
Mailing address
3201 W Charlotte St
Broken Arrow, OK 74011-4323
Registry dates
- Enumerated
- 2021-01-20
- Last updated
- 2021-01-20
- Certified
- 2021-01-20
Frequently asked questions
- What is Madison Gerdom's NPI number?
- Madison Gerdom's National Provider Identifier (NPI) is 1770173155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Gerdom's specialty?
- Madison Gerdom is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Madison Gerdom located?
- Madison Gerdom's practice location on file with NPPES is 308 N Aspen Ave, Broken Arrow, OK 74012-2205.
- What is Madison Gerdom's phone number?
- The practice phone number listed in the NPPES registry for Madison Gerdom is (539) 777-0940.
- Is Madison Gerdom's NPI active?
- Yes — Madison Gerdom's NPI (1770173155) is active in the NPPES registry as of the last update on 2021-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.