Brandon Medical, Llc

LBN: Brandon Medical, Llc
Brandon Medical, Llc is an health care organization with primary practice located at 110 North Lee Street , Fort Gibson OK 74434. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Brandon Medical, Llc can be contacted via phone (918) 478-2845, or through Brandon, Steven M via phone (918) 478-2845.

Contact Information

Primary practice address
110 North Lee Street Fort Gibson OK 74434
Phone: (918) 478-2845
Fax: (918) 478-5519
Website:
Map and Directions
Authorized official contact:
Name: Brandon, Steven M
Phone: (918) 478-2845

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1073511184
LBN Legal business name Brandon Medical, Llc
DBA Doing business as Brandon Medical, Llc
Authorized official Brandon, Steven M
Entity Organization
Organization subpart 1 No
Enumeration date Jul 12th, 2005
Last updated Sep 30th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073511184 NPPES
Oklahoma MEDICAID 100812890A

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