Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 17588 | OK |
NPI | 1033112016 |
---|---|
Provider Name | Bradley Don Britton |
First Address | Edmond, OK 73013-3411 |
Second Address | Edmond, OK 73013-3411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 08/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100107780A | (05) | OK |
1462581 | UNITED HEALTHCARE (01) | OK |
5845266 | AETNA (01) | OK |
E56726 | (02) | OK |