JOHN MICHAEL BREST (NPI# 1699082990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699082990 |
| Entity Type | Individual |
| Full Name | JOHN MICHAEL BREST |
| Credential | C.O., C.PED |
| Practice Address |
4011 Frontier Rd Sapulpa OK 74066-9383 |
| Practice Telephone | 9182272704 |
| Mailing Telephone | 9182272704 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | LO 18 | OK | Suppliers |
| Street Address |
4011 FRONTIER RD |
| City | SAPULPA |
| State | OK |
| Zip Code | 74066-9383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285263541 | Brice Schroeder Chapa | Pharmacist | 11 W Taft, Sapulpa, OK 74066 | 2020-04-07 |
| 1902457179 | Kimberly Vandygriff | Technician | 1115 East Davis Avenue, Sapulpa, OK 74066 | 2019-09-27 |
| 1346717063 | Carla Kay Pilkington | Pharmacist | 1329 South Main St, Unit C, Sapulpa, OK 74066 | 2018-10-31 |
| 1669964433 | Kindful Hospice Sapulpa Tulsa, LLC | Hospice Care, Community Based | 1014 E Dewey Ave Ste D, Sapulpa, OK 74066 | 2018-06-06 |
| 1922492081 | Optimum Laboratory Services, LLC | Clinical Medical Laboratory | 303 East Taft Street, Suite 4, Sapulpa, OK 74066 | 2015-03-26 |
| 1568863371 | Duncan Ornelas | Case Manager/Care Coordinator | 23 Ross Ave., Sapulpa, OK 74066 | 2014-09-11 |
| 1104244417 | Carmisha Harper | Counselor | 23th E. Ross Ave., Sapulpa, OK 74066 | 2014-04-03 |
| 1699118521 | Creek Nation Health | Student in an Organized Health Care Education/Training Program | 1943 South Water, Sapulpa, OK 74066 | 2013-04-10 |
| 1487990438 | Insight Eyecare Pllc | Optometrist | 12140 S Waco Ave, Sapulpa, OK 74066 | 2012-12-19 |
| 1770847733 | Tabitha Sparks | Social Worker | 23 N. Main Street, Sapulpa, OK 74066 | 2012-06-25 |
| Find all providers in zip 74066 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619515541 | Lamoor Beauty Supply | Prosthetic/Orthotic Supplier | 2214 N Martin Luther King Ave, Oklahoma City, OK 73111-2404 | 2019-12-10 |
| 1790246361 | Capitol Orthopedic Inc | Prosthetic/Orthotic Supplier | 5480 Main St, Del City, OK 73115-5516 | 2019-03-27 |
| 1841776705 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 10 E 6th St., Grove, OK 74344 | 2018-07-13 |
| 1598258378 | Otto Bock Orthopedic Services LLC | Prosthetic/Orthotic Supplier | 5601 Nw 72nd Street, Suite 257, Oklahoma City, OK 73132-5920 | 2018-06-07 |
| 1508363482 | Progressive Orthotic & Prosthetic Services, Inc | Prosthetic/Orthotic Supplier | 2121 S Columbia Ave Ste Ll8, Tulsa, OK 74114-3512 | 2018-04-09 |
| 1093237711 | Elevate Orthotics and Prosthetics LLC | Prosthetic/Orthotic Supplier | 3317 E Memorial Rd Ste 103, Edmond, OK 73013-7095 | 2017-07-14 |
| 1710413489 | Raymon Turpin | Prosthetic/Orthotic Supplier | 6565 S Yale Ave Ste 901, Tulsa, OK 74136-8310 | 2017-05-02 |
| 1265970040 | Fenner, Inc | Prosthetic/Orthotic Supplier | 2019 W Broadway St, Muskogee, OK 74401-2759 | 2017-02-01 |
| 1336510874 | Tatas for Now | Prosthetic/Orthotic Supplier | 2319 W Gore Blvd, Lawton, OK 73505-6301 | 2015-10-09 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JOHN MICHAEL BREST.
| 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.