Organization Active NPI

Oklahoma Spine and Brace Inc.

  • Durable Medical Equipment & Medical Supplies
  • Oklahoma City, OK
National Provider Identifier
1710287404
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OKLAHOMA SPINE AND BRACE INC.
Practice address
3201 NW 54TH Cir
Oklahoma City, OK 73112-5312
Phone
(405) 550-3596
Fax
(405) 606-2508
NPI assigned
Oct 27, 2010
Last updated
Oct 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Roger Brewer
Title
DME Rehab Specialist
Phone
(405) 550-3596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

3201 NW 54TH Cir
Oklahoma City, OK 73112-5312

Mailing address

3201 NW 54TH Cir
Oklahoma City, OK 73112-5312
Phone (405) 550-3596

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1710287404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 NW 54TH CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125312",
            "telephone_number": "405-550-3596",
            "fax_number": "405-606-2508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 NW 54TH CIR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125312",
            "telephone_number": "405-550-3596",
            "fax_number": "405-606-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA SPINE AND BRACE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "DME REHAB SPECIALIST",
        "authorized_official_telephone_number": "405-550-3596"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.