Brendon D Sexton
Individual provider Active NPI Peer Specialist · Watts, OK
NPI 1346869831 · NPPES record last updated Apr 14, 2020
Key facts
- NPI
- 1346869831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 61104 S 4647 Rd
Watts, OK 74964-1189 - Phone
- (918) 226-0063
- NPI assigned
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
61104 S 4647 Rd
Watts, OK 74964-1189
Mailing address
61104 S 4647 Rd
Watts, OK 74964-1189
Phone (918) 226-0063
Other providers in Watts, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2020. 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.