Brett Gibson
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Talala, OK
NPI 1821940404 · NPPES record last updated Feb 13, 2026
Key facts
- NPI
- 1821940404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5601 S 4138 Rd
Talala, OK 74080-9627 - Phone
- (918) 949-7576
- NPI assigned
- Feb 13, 2026
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | OK | Yes |
Addresses
Primary practice location
5601 S 4138 Rd
Talala, OK 74080-9627
Mailing address
5601 S 4138 Rd
Talala, OK 74080-9627
Phone (918) 949-7576
Other providers in Talala, OK
- Morgan Elaina Allen
- Michael E. Connella
- Katie Nicole Davis
- Kyle Lillard
- Brandy Nichole Peoples
- Joyce M Srok
- Sara Wilson
All providers in Talala, OK · Student in an Organized Health Care Education/Training Program in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2026. 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.