Brandi Nicole Thompson, DDS
Individual provider Active NPI Dentist · Hominy, OK
NPI 1376855445 · NPPES record last updated Feb 24, 2011
Key facts
- NPI
- 1376855445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6214 (OK)
- Practice address
- 119 W Main St
Hominy, OK 74035-1031 - Phone
- (918) 885-4640
- Fax
- (918) 885-4644
- NPI assigned
- Jul 6, 2010
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 6214 | OK | Yes |
Addresses
Primary practice location
119 W Main St
Hominy, OK 74035-1031
Mailing address
212 N Main St
Fairfax, OK 74637-3023
Phone (918) 642-3100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200295380A | Medicaid | OK |
Other names
- Brandi Nicole Binkley
Other providers in Hominy, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2011. 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.