Bullard, Branch Rickey
Bullard, Branch Rickey is an individual health care provider with primary practice located at 34 Sw 89Th St Ste A , Oklahoma City OK 73139-8510. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bullard, Branch Rickey can be contacted via phone (405) 488-0750.Contact Information
Primary practice address
34 Sw 89Th St Ste A
Oklahoma City OK 73139-8510
Phone: (405) 488-0750
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 27386 | Oklahoma |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27386 | Oklahoma |
Profile Details
| NPI number | 1104804137 |
|---|---|
| LBN Legal business name | Bullard, Branch Rickey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Oct 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104804137 | NPPES |
| Colorado | MEDICAID | 07403062 |
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