Michael C. Breedlove, D.O., Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2774 Issued in OK

Legal business name

MICHAEL C. BREEDLOVE, D.O., INC

Doing business as

Holdenville Family Medical Clinic

Practice address

1011 N Hinckley St
Holdenville, OK 74848-3846

Phone

(405) 379-5433

Fax

(405) 379-5877

NPI assigned

Aug 25, 2009

Last updated

Aug 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Charles Breedlove, D.O.

Title

Physician/Owner

Phone

(405) 379-5433

Specialties & licenses 1

Addresses

Other names 1

• Holdenville Family Medical Clinic Doing business as

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1750514725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N HINCKLEY ST",
            "address_2": "PO BOX 1070",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483846",
            "telephone_number": "405-379-5433",
            "fax_number": "405-379-5877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N HINCKLEY ST",
            "city": "HOLDENVILLE",
            "state": "OK",
            "postal_code": "748483846",
            "telephone_number": "405-379-5433",
            "fax_number": "405-379-5877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL C. BREEDLOVE, D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-379-5433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holdenville Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Roxanne Loyless, M.ED.
• Jena Raylynn-Gwendolyn Lueking
• John B Marlar, DO
• Medi-Plex Nursing Centers Inc. (Boyce Manor Nursing Home)
• June Marie Melton, LPC
• Midwest City Hma Physician Management, LLC (Holdenville Specialty Clinic)
• Alicia Marie Mills, LPC CANDIDATE
• Shaina Moon
• Dillon Moore, DNP, APRN, FNP-C
• Megan Morgan

• Family Medicine Physician in Holdenville, OK
• Providers in Holdenville, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.