Darin Kent Brannan, M.D.
Individual provider Active NPI Pediatrics Physician · Bethany, OK
NPI 1013978121 · NPPES record last updated Feb 22, 2008
Key facts
- NPI
- 1013978121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 18428 (OK)
- Practice address
- 6800 NW 39TH Expy
Bethany, OK 73008-2513 - Phone
- (405) 440-9866
- Fax
- (405) 440-9341
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18428 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 18428 | OK | Yes |
Addresses
Primary practice location
6800 NW 39TH Expy
Bethany, OK 73008-2513
Mailing address
6800 NW 39TH Expy
Bethany, OK 73008-2513
Phone (405) 440-9866
Other providers in Bethany, OK
- Karlee Michaela Bond
- Jake Boone
- Tara Booth
- Chalmer Hadley Bowman
- Hope Katelyn Boyer
- Kristen Rene' Brannan
- Douglas Wayne Brant Sr.
- Brian L. Predmore, D.C., P.C.
- Mandy Brixey
- Michael Brobston
All providers in Bethany, OK · Pediatrics Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.