Healthcare Provider Details

I. General information

NPI: 1013387810
Provider Name (Legal Business Name): BDC MEDICAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2015
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13601 W MEMORIAL PARK DR STE 200
OKLAHOMA CITY OK
73120-8375
US

IV. Provider business mailing address

PO BOX 654470
DALLAS TX
75265-4470
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 TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4887
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number4887
License Number StateOK

VIII. Authorized Official

Name: BLAKE DALBERT CHRISTENSEN
Title or Position: OWNER
Credential: D.O.
Phone: 405-751-0011