Brett Colby Doyle, DPH
Individual provider Active NPI Pharmacist · Comanche, OK
NPI 1508925348 · NPPES record last updated Mar 7, 2023
Key facts
- NPI
- 1508925348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 11086 (OK)
- Practice address
- 211 W Main Ave
Comanche, OK 73529-1445 - Phone
- (580) 439-8846
- Fax
- (580) 439-8846
- NPI assigned
- Dec 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11086 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William W Baker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11086 | OK | Yes |
Addresses
Primary practice location
211 W Main Ave
Comanche, OK 73529-1445
Mailing address
24963 State Road 22
Caddo, OK 74729-2218
Phone (580) 367-2395
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3711505 | Other | OK | NABP |
Other providers in Comanche, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. 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.