OrganizationActive
Southcrest Medical Group LLC
NPI 1992736250 · General Practice Physician · Tulsa, OK
Provider details
- NPI number
- 1992736250
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(877) 892-9813
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
6528 E 101st St
Ste I
Tulsa, OK 74133-6724
Phone: (918) 294-4803
Street-level locationGet directions
Mailing address
7100 Commerce Way
Brentwood, TN 37027-2829
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2008-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.