Brady Gene Englestead
Pediatrician
1201 Heritage Circle
Pawnee
, Oklahoma 74058
Brady Gene Englestead
Pediatrician
1201 Heritage Circle
Pawnee
, Oklahoma 74058
(918) 762-4614
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Brady Gene Englestead
- 3963 S. Highway 97 #113
- Sand Springs, OK
- Zip : 74063
- Fax : (918) 762-4614
- Phone : (918) 762-6536
Second Address
- Brady Gene Englestead
- 1201 Heritage Circle
- Pawnee, OK
- Zip : 74058
- Fax : (918) 762-4614
- Phone : (918) 762-6536
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FAQs
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Is Brady Gene Englestead accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | A54792 | CA |
National Provider Identifier
| NPI | 1003892621 |
|---|---|
| Provider Name | Brady Gene Englestead |
| First Address | Sand Springs, OK 74063 |
| Second Address | Pawnee, OK 74058 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2005 |
| Last Update Date | 19/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G61255 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.