NPI
Bryssa Chacon Gomez
NPI 1093650194
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2026-04-23
- Last updated
- 2026-04-23
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Specialties
Licenses
- License OK
- Number not in the file
Location
- Practice location
- 4425 W Toledo St
- City
- Broken Arrow OK
- Postal code
- 74012-6048
- Phone
- (408) 430-4904
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Case Manager/Care Coordinator providers in Broken Arrow, OK. 123 with this primary taxonomy in the public file.
Other NPIs in Broken Arrow, OK. 2,338 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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