Active NPI
Richard T Brittingham, MD
- Internal Medicine Physician
- Lawton, OK
National Provider Identifier
1568457331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17722
- Practice address
- 3201 W Gore Blvd
Suite 304
Lawton, OK 73505 - Phone
- (580) 353-6760
- Fax
- (580) 248-3760
- NPI assigned
- Sep 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17722 | OK | Primary |
Addresses
Primary practice location
3201 W Gore Blvd
Suite 304
Lawton, OK 73505
Mailing address
PO Box 785
Lawton, OK 73502
Phone (580) 357-9984
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100031940A | Medicaid | OK | |
| 110152906 | Other | OK | RAILROAD MEDICARE |
| 125308600 | Other | DOL | |
| 5692307 | Other | OK | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383177600000",
"number": "1568457331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "LAWTON",
"state": "OK",
"postal_code": "73502",
"telephone_number": "580-357-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W GORE BLVD",
"address_2": "SUITE 304",
"city": "LAWTON",
"state": "OK",
"postal_code": "73505",
"telephone_number": "580-353-6760",
"fax_number": "580-248-3760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRITTINGHAM",
"first_name": "RICHARD",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-16",
"last_updated": "2013-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OK",
"license": "17722",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100031940A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110152906",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "125308600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5692307",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.