Brooke Brandt

Individual provider Active NPI Personal Care Attendant · Chickasha, OK

NPI 1184074403 · NPPES record last updated Jun 17, 2016

Key facts

NPI
1184074403
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
900 W Choctaw Ave
Chickasha, OK 73018-2213
Phone
(405) 222-6500
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Chickasha Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

900 W Choctaw Ave
Chickasha, OK 73018-2213

Mailing address

900 W Choctaw Ave
Chickasha, OK 73018-2213
Phone (405) 222-6500

Other providers in Chickasha, OK

All providers in Chickasha, OK · Personal Care Attendant in Oklahoma

Sources for this page

Verify at the official NPI Registry.