Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669587077 Individual Practitioner Male Practitioner

Dr. Darryl Dodd Gregerson , DC

Chiropractor • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Dr. Darryl Gregerson, DC is a registered healthcare professional specializing in Chiropractor in Broken Arrow, OK. Practice services are available at 2518 E KENOSHA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2518 E Kenosha St

Broken Arrow, OK 740146712

Telephone 9182862729
Fax 9182860651
Associated Practice Facility / Clinic
🏢 Active Life Chiropractic Llc Facility NPI 1053567933

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.9 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
36 Specialists

Practicing in Broken Arrow, OK (1065 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OK 3878

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2118786 (IA)
Commercial Insurance / Payer ID Blue Cross/blue Shield
46813 (IA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1144645318

Doctor of Chiropractic

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2008

Registered at 2518 E KENOSHA ST, BROKEN ARROW, OK 740146712 (Tel: 9182862729)

📍
Updated Business Mailing Address July 22, 2008

Registered at 2518 E KENOSHA ST, BROKEN ARROW, OK 740146712 (Tel: 9182862729)

👤
Provider Name / Credentials Updated July 22, 2008

Recorded as DARRYL GREGERSON, DC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2008

Chiropractor (License #3878 in OK)

🟢
Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669587077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 19, 2006
Last Update: July 22, 2008
Sole Proprietor: No

Mailing Address

2518 E Kenosha St

Broken Arrow, OK 740146712

Phone: 9182862729

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.