DALE M BRANNON (NPI# 1588632772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588632772 |
| Entity Type | Individual |
| Full Name | DALE M BRANNON |
| Credential | MD |
| Practice Address |
940 Ne 13th St 4g4250 Oklahoma City OK 73104-5008 |
| Mailing Address |
1122 Ne 13th St Ori236 Oklahoma City OK 73117-1039 |
| Practice Telephone | 4052715125 |
| Practice Fax Number | 4052713462 |
| Mailing Telephone | 4052711515 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2011-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
22405 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00315038 | 01 |
| Street Address |
940 NE 13TH ST 4G4250 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460549 | Susan J Hassed | Genetic Counselor, MS | 940 Ne 13th St, Cho - Genetics 2b 2418, Oklahoma City, OK 73104-5008 | 2005-10-13 |
| 1003304643 | Xin Lu | Student in an Organized Health Care Education/Training Program | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2018-04-30 |
| 1962947994 | Nicole Marie Massie | Physician Assistant | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2016-12-29 |
| 1043691033 | Thang Truong | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104 | 2015-06-15 |
| 1730593294 | Natalie Stratemeier | Radiology | 940 Ne 13th St, Suite 4g4200, Oklahoma City, OK 73104-5008 | 2014-06-12 |
| 1730508151 | Tiffany Palmer | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2014-04-14 |
| 1972948438 | Stephanie Ferrin | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-05-09 |
| 1417392986 | Chee Yoon Shim Bauer | Internal Medicine | 940 Ne 13th St, Oklahoma City, OK 73104 | 2013-05-09 |
| 1881039055 | David Auld | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-05-01 |
| 1245674647 | Geoffrey Lowe | Pediatrics | 940 Ne 13th St, Oklahoma City, OK 73104-5008 | 2013-04-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568430643 | Charles Arnold | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1396713533 | Joe C Leonard | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| 1932178027 | Jay S Hiller | Radiology | 940 Ne 13th St, 4g4250, Oklahoma City, OK 73104-5008 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144743923 | Amir G Abdelmalik Md Pllc | Radiology | 6711 S Yale Ave Ste 104, Tulsa, OK 74136-3317 | 2017-07-24 |
| 1124123963 | Radiology Services of Ardmore, Inc. | Radiology | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2006-09-14 |
| 1053302380 | Southern Oklahoma Pet Imaging LLC | Radiology | 701 E Robinson St, Suite 102, Norman, OK 73071-6625 | 2005-11-04 |
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
Please comment or provide details below to improve the information on DALE M BRANNON.
| 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.