Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 19369 | OK |
N | 111NI0900X | Internist | 19369 | OK |
N | 207RC0200X | Critical Care Medicine | 19369 | OK |
Y | 207RP1001X | Pulmonary Disease | 19369 | OK |
NPI | 1053355073 |
---|---|
Provider Name | Dr. Brian D. Whitson |
First Address | Oklahoma City, OK 73112-5556 |
Second Address | Enid, OK 73701-7273 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 12/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100255940B | (05) | OK |
290009465 | RAILROAD MEDICARE (01) | OK |
E56722 | (02) | OK |
P00945310 | RAILROAD MEDICARE (01) | OK |