DR. BRETT TYLER GROBMAN (NPI# 1578917217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578917217 |
| Entity Type | Individual |
| Full Name | DR. BRETT TYLER GROBMAN |
| Credential | DO |
| Practice Address |
301 N 1st St Altus OK 73523-5004 |
| Mailing Address |
301 N 1st St Bldg 46 Altus OK 73523-5004 |
| Practice Telephone | 5804816084 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
6174 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
301 N 1ST ST |
| City | ALTUS |
| State | OK |
| Zip Code | 73523-5004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932567286 | Michael John-paul Triana | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2016-02-02 |
| 1336554310 | James Robert Campbell IIi | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2014-06-27 |
| 1962742999 | Phillip Tyler Price | Family Medicine | 301 N 1st St, Bldg. 46, Altus, OK 73523-5004 | 2013-02-28 |
| 1801195367 | Joshua Ryan Berg | Pediatrics | 301 N 1st St, Altus, OK 73523-5004 | 2011-03-23 |
| 1023324241 | Alexandra E Hernandez | Dentist | 301 N 1st St, Altus, OK 73523-5004 | 2010-08-25 |
| 1659684520 | Oscar Salas | Military Health Care Provider | 301 N 1st St, Altus, OK 73523-5004 | 2010-07-21 |
| 1427387729 | Sally Lay To | Pharmacist | 301 N 1st St, Bldg 46, Altus, OK 73523-5004 | 2009-12-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629440920 | Jessica D'andrea | Psychologist | 209 E Sir Dr., Altus, OK 73523-0000 | 2015-10-26 |
| 1528449642 | Matthew Albright | Family Medicine | 301 N 1st St # 46, Altus, OK 73523-5004 | 2015-06-15 |
| 1093924441 | Wayne Joseph Merback | Pediatrics | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-05-22 |
| 1366934523 | Andrew James Dimond | Psychologist | 301 N 1st St # 46, Altus, OK 73523-5004 | 2018-06-04 |
| 1578743217 | Jessica Audrey Lotridge | Family Medicine | 301 N 1st St Bldg 46, Altus Afb, OK 73523-5004 | 2007-11-09 |
| 1528204559 | Ryan Luther Buhite | Psychologist | 301 N First Street, 97 Mdos/sgow Bldg 46, Altus Afb, OK 73523-5005 | 2008-12-22 |
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932560760 | Robert Darryl Fisher | Family Medicine | 2203 E Wilshire Blvd, Oklahoma City, OK 73111-8604 | 2016-03-07 |
| 1932591419 | Sitesource Medical, LLC | Family Medicine | 324 N Robinson Ave, Oklahoma City, OK 73102-6416 | 2015-02-20 |
| 1699025973 | Great Salt Plains Health Center, Inc. | Family Medicine | 619 Front Street, Medford, OK 73759-1209 | 2012-09-14 |
| 1447543798 | House Call Physicians, Inc | Family Medicine | 3456 Nw 172nd Ter, Edmond, OK 73012-7098 | 2011-05-19 |
| 1639406325 | Leslie Ann Masters | Family Medicine | 8172 S Lewis Ave Ste D, Tulsa, OK 74137-1248 | 2009-11-17 |
| 1487817375 | Brad Alan Liston | Family Medicine | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 | 2008-07-09 |
| 1962537902 | Gary Erle Johnston | Family Medicine | 53468 Mineral Springs Rd, Hodgen, OK 74939-3064 | 2007-02-22 |
| 1659441228 | Terrance Patrick Mcdermott | Family Medicine | 2536 Sw 29th Street, Mcdermott Clinic, Oklahoma City, OK 73119 | 2006-11-09 |
| 1861436677 | Thomas Ray Crow | Family Medicine | 9170 Us Hwy 70, Waurika, OK 73573 | 2006-06-15 |
| 1699761981 | Larry Dean Sumner | Family Medicine | 204 Woodlawn Ave, Tahlequah, OK 74464-3318 | 2005-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.