Healthcare Provider Details

I. General information

NPI: 1699383919
Provider Name (Legal Business Name): BDC MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2020
Last Update Date: 04/09/2025
Certification Date: 04/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2596 W TECUMSEH RD STE 116
NORMAN OK
73069-8244
US

IV. Provider business mailing address

PO BOX 514
NORMAN OK
73070-0514
US

V. Phone/Fax

Practice location:
  • Phone: 405-751-0011
  • Fax: 405-751-7246
Mailing address:
  • Phone: 405-751-0011
  • Fax: 405-751-7246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BLAKE DALBERT CHRISTENSEN
Title or Position: PHYSICIAN / OWNER
Credential: DO
Phone: 405-751-0011