Brindley, Jerry D

Brindley, Jerry D is an individual health care provider with primary practice located at 5501 N Portland Ave , Oklahoma City OK 73112-2074. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Brindley, Jerry D can be contacted via phone (405) 604-6000.

Contact Information

Primary practice address
5501 N Portland Ave Oklahoma City OK 73112-2074
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 12214 Oklahoma
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12214 Oklahoma

Profile Details

NPI number 1700843224
LBN Legal business name Brindley, Jerry D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 11th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700843224 NPPES
Oklahoma MEDICAID 100112000A

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