Dba D Brent Tipton M D Inc

LBN: D Brent Tipton M D Inc
Dba D Brent Tipton M D Inc is an health care organization with primary practice located at 5100 N Brookline Ave Suite 530, Oklahoma City OK 73112-3623. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as the primary health care specialty. D Brent Tipton M D Inc can be contacted via phone (405) 604-6652, or through Costner, Joy A. via phone (405) 329-2390.

Contact Information

Primary practice address
5100 N Brookline Ave Suite 530 Oklahoma City OK 73112-3623
Phone: (405) 604-6652
Fax: (405) 604-6653
Website:
Map and Directions
Authorized official contact:
Name: Costner, Joy A.
Phone: (405) 329-2390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 18762 Oklahoma

Profile Details

NPI number 1538177225
LBN Legal business name D Brent Tipton M D Inc
DBA Doing business as Dba D Brent Tipton M D Inc
Authorized official Costner, Joy A.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Nov 2nd, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538177225 NPPES
Oklahoma Other 44456086901 BC/BS
Oklahoma MEDICAID 100112170A BC/BS

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