BEDSIDE MANNER LLC NPI 1336983899

NPI Information

  • NPI: 1336983899
  • Provider Name: BEDSIDE MANNER LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 37D2318450
  • Address: 550 W 125TH PL S STE 202
    GLENPOOL, OK
    ZIP 74033
  • Phone: (918) 528-5500

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NPI Details

BEDSIDE MANNER LLC is a family medicine in Glenpool, OK. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEDSIDE MANNER LLC NPI is 1336983899. The provider is registered as an organization entity type.

The provider's business location address is:

550 W 125TH PL S STE 202
GLENPOOL, OK
ZIP 74033-023
Phone: (918) 528-5500
Fax: (918) 372-9254

The provider's authorized official is Travis Wolff .
The authorized official title is Ceo and has the following contact phone number (918) 528-5500.

The CLIA number assigned to this NPI record is 37D2318450 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2024 and was last updated on 8/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QI0500XClinic/CenterInfusion TherapyNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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