Alan Lee Brokenicky, PA

Physician Assistant · Tulsa, OK

Individual Active NPI

NPI number 1184889768

Practice location

9912 E 21st St
Tulsa, OK 74129-1620
Phone
(918) 622-0641

Open in Google Maps

NPI record

NPI
1184889768
Entity type
Individual (Type 1)
Enumeration date
July 23, 2008
Last updated
January 12, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 1752 OK

Mailing address

1705 E 19TH St
Ste 302
Tulsa, OK 74104-5410
Phone
(918) 748-7585

About Alan Brokenicky

Alan Lee Brokenicky, PA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 9912 E 21st St, Tulsa, OK 74129-1620. The NPI number 1184889768 was assigned on July 23, 2008 and the record was last updated on January 12, 2017.

Alan Brokenicky lists a license in the registry: #1752 (OK) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Alan Lee Brokenicky, PA?

The NPI number is 1184889768.

What is the phone number of Alan Brokenicky?

The phone number listed for the practice location is (918) 622-0641.

Where is Alan Brokenicky located?

9912 E 21st St, Tulsa, OK 74129-1620.

What is the taxonomy code for Alan Brokenicky?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Physician Assistant providers in Tulsa

All Physician Assistant providers in Tulsa, OK →