MR. MICHAEL BROBSTON (NPI# 1740660257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740660257 |
Entity Type | Individual |
Full Name | MR. MICHAEL BROBSTON |
Credential | MED, ATC |
Practice Address |
6729 Nw 39th Expressway Bethany OK 73008 |
Practice Telephone | 4057176256 |
Mailing Telephone | 4057176256 |
Enumeration Date | 2015-06-01 |
Last Update Date | 2015-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 520 | OK | Other Service Providers |
Street Address |
6729 NW 39TH EXPRESSWAY |
City | BETHANY |
State | OK |
Zip Code | 73008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780150151 | Kimberly Campbell | Counselor | 6612 Nw 42nd Street, Bethany, OK 73008 | 2018-10-23 |
1366943151 | Arkansas Liver and Gastroenterology, Pa | Clinic/Center | 2347 North Thompkins Ave, Bethany, OK 73008 | 2018-02-27 |
1881106805 | Tiffany Harmon | Physical Therapy Assistant | 6729 Nw 39th Exp., Sawyer Center, Bethany, OK 73008 | 2017-10-31 |
1043626120 | Danielle Manning | Case Manager/Care Coordinator | 6729 Nw Expressway, Bethany, OK 73008 | 2014-07-09 |
1487065157 | Carolyn Mgcdf Jones | Behavioral Analyst | 2209 Nth. Beaver Ave., Bethany, OK 73008 | 2014-05-15 |
1013327022 | Ephraim Kelley | Counselor | 2800 N. Rockwell Ave., Bethany, OK 73008 | 2014-04-29 |
1356600407 | Mallory Crosier | Occupational Therapist | 6800 Nw 39th Expresswaay, Bethany, OK 73008 | 2012-05-10 |
1326310897 | Isaac I Juarez | Psychologist | 2020 N Briarcliff Ave., Bethany, OK 73008 | 2012-01-31 |
1295015295 | Lauren Vanderloo | Counselor | 7908 Northwest 23rd St, Bethany, OK 73008 | 2011-08-22 |
1326333162 | Susan F Naylor | Counselor | 3621 N. Kelley Ave., Suite 100, Oklahoma City, OK 73008 | 2011-06-09 |
Find all providers in zip 73008 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
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1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
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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.