Healthcare Provider Details

I. General information

NPI: 1184554818
Provider Name (Legal Business Name): BLUESTEM FAMILY MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7647 E 126TH ST S STE 100
BIXBY OK
74008-2796
US

IV. Provider business mailing address

7647 E 126TH ST S STE 100
BIXBY OK
74008-2796
US

V. Phone/Fax

Practice location:
  • Phone: 580-678-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS ATKINSON
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 580-678-7500