DR. BRENT WADE DAVIS (NPI# 1619009859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619009859 |
| Entity Type | Individual |
| Full Name | DR. BRENT WADE DAVIS |
| Credential | D.O. |
| Practice Address |
315 W. 9 Street Weleetka OK 74880-0337 |
| Mailing Address |
Po Box 207 Henryetta OK 74437-0207 |
| Practice Telephone | 4057862248 |
| Practice Fax Number | 4057862006 |
| Mailing Telephone | 4057862248 |
| Mailing Fax Number | 4057862006 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1913 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100743630A | 05 | |
| OK | 100743630B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982254710 | Brent A Davis | Physical Therapist | 516 Industrial Park Access Rd, Trumann, AR 72472 | 2019-09-13 |
| 1366688681 | Brent Davis | Chiropractor | 550 Rosedale Ave, Nashville, TN 37211-2048 | 2008-12-17 |
| 1083710149 | Brent L Davis | Preventive Medicine | 810 W Braker Ln, Austin, TX 78758-4111 | 2006-09-16 |
| 1073578696 | Brent Alan Davis | Orthopaedic Surgery | 75 Medical Park Ln, Suite B, Murphy, NC 28906-6667 | 2006-04-18 |
| 1972111870 | Brent P Davis | Registered Nurse | 4309 3rd Ave, San Diego, CA 92103-1407 | 2020-07-16 |
| 1144796079 | Brent Davis | Physical Therapist | 4500 E Sam Houston Pkwy S Ste 215, Pasadena, TX 77505-3957 | 2018-10-18 |
| 1215423926 | Brent Davis | Pharmacist | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 | 2018-07-05 |
| 1548784317 | Brent Joseph Davis | Physical Therapist | 916 Loganville Hwy Ste 1130, Bethlehem, GA 30620-2153 | 2017-08-02 |
| 1992142053 | Brent Alan Davis | Nurse Anesthetist, Certified Registered | 1 Tampa General Cir, Suite A327, Tampa, FL 33606-3571 | 2013-05-30 |
| 1568731628 | Brent Michael Davis | Physician Assistant | 34 Sw 89th St, Oklahoma City, OK 73139-8510 | 2011-12-19 |
| Street Address |
315 W. 9 STREET |
| City | WELEETKA |
| State | OK |
| Zip Code | 74880-0337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367546 | Vester Joe Williams II | Emergency Medical Technician, Paramedic | 101 E 9th, Weleetka, OK 74880 | 2020-05-11 |
| 1710519004 | Kimber Marie Sanderson | Registered Nurse | 300 West 9th Street, Weleetka, OK 74880 | 2020-02-05 |
| 1720124472 | Janet Y Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2007-01-29 |
| 1588767867 | Guy W Sheneman | Pharmacist | 311 West 9th Street, Weleetka, OK 74880 | 2006-09-05 |
| 1629005137 | Williamson Care Centers,inc. | Nursing Facility/Intermediate Care Facility | 300 W 9, Weleetka, OK 74880 | 2006-06-28 |
| 1790321339 | Robin Kay Woods | Nursing Care | 302 E. 6th Street, Weleetka, OK 74880 | 2019-11-19 |
| 1952966939 | Patrick W Parker | Physician Assistant | 315 W. 9th, Weleetka, OK 74880 | 2019-05-06 |
| 1518441096 | Adrianne Elizabeth Collett | Community Health Worker | 302 E 6th Street, Weleetka, OK 74880 | 2018-09-20 |
| 1740764422 | Amber Lynn Doerr | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2018-09-19 |
| 1477066918 | Julie Kay Shearon | Community Health Worker | 302 E. 6th Street, Weleetka, OK 74880 | 2017-11-07 |
| Find all providers in zip 74880 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1235739764 | Pinnacle Family Health Care | Family Medicine | 2781 Washington Drive, Suite 101, Norman, OK 73069 | 2020-10-26 |
| 1548868573 | Kayla Lynn Birchfield | Family Medicine | 220 W Jackson St, Crescent, OK 73028-8908 | 2020-10-12 |
| 1164039632 | Axiom Medical Solutions, LLC | Family Medicine | 14132 Se 134th St, Oklahoma City, OK 73165-7669 | 2020-09-28 |
| 1174139554 | Crestcare Family Medicine,pllc | Family Medicine | 817 S Elm Pl Ste 104, Broken Arrow, OK 74012-5369 | 2020-09-21 |
| 1346855640 | Charger Health Group Pllc | Family Medicine | 511 N Aspen Ave, Broken Arrow, OK 74012-2220 | 2020-09-14 |
| 1952916645 | Brandi Suzanne Shell | Family Medicine | 26471 E 141st St S, Coweta, OK 74429-5517 | 2020-09-10 |
| 1730793696 | Osumc Professional Services LLC | Family Medicine | 112 W 5th Street, Okmulgee, OK 74447-0000 | 2020-09-08 |
| 1104437219 | L and M Investments LLC | Family Medicine | 6001 Nw 139th St, Oklahoma City, OK 73142-1919 | 2020-08-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRENT WADE DAVIS.
| 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.