Breana Elissa Smith, DO

Pediatrics Physician · Tulsa, OK

Individual Active NPI

NPI number 1790282598

Practice location

4444 E 41st St
Tulsa, OK 74135-2527
Phone
(918) 619-4400
Fax
(918) 619-4334

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NPI record

NPI
1790282598
Entity type
Individual (Type 1)
Enumeration date
April 9, 2018
Last updated
June 21, 2022
Certified
June 21, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 6765 OK

Mailing address

4502 E 41st St
Tulsa, OK 74135-2536

About Dr. Smith

Breana Elissa Smith, DO is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 4444 E 41st St, Tulsa, OK 74135-2527. The NPI number 1790282598 was assigned on April 9, 2018 and the record was last updated on June 21, 2022.

Dr. Smith lists a license in the registry: #6765 (OK) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Breana Elissa Smith, DO?

The NPI number is 1790282598.

What is the phone number of Dr. Smith?

The phone number listed for the practice location is (918) 619-4400.

Where is Dr. Smith located?

4444 E 41st St, Tulsa, OK 74135-2527.

What is the taxonomy code for Dr. Smith?

The primary taxonomy code is 208000000X – Pediatrics Physician.

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.

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