DR. BRAD PARK PLLC (NPI# 1174680482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174680482 |
| Entity Type | Organization |
| Organization Name | DR. BRAD PARK PLLC |
| Practice Address |
307 N.e. Hwy 66 Sayre OK 73662 |
| Mailing Address |
Po Box 7 Sayre OK 73662-0007 |
| Practice Telephone | 5809283125 |
| Practice Fax Number | 5809283605 |
| Mailing Telephone | 5809283125 |
| Mailing Fax Number | 5809283605 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BRAD PARK (CHIROPRACTOR) |
| Authorized Official Telephone | 5809283125 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1638 | OK | Chiropractic Providers |
| Street Address |
307 N.E. HWY 66 |
| City | SAYRE |
| State | OK |
| Zip Code | 73662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194275883 | Kandace Lindsay | Peer Specialist | 501 E Grand, Sayre, OK 73662 | 2016-10-06 |
| 1124251624 | Katrina Lavern Hinds | Counselor | 501 E. Grand, Sayre, OK 73662 | 2009-08-31 |
| 1376762757 | K E Whinery Md PC | Family Medicine | 1505 North Watts, Sayre, OK 73662 | 2007-04-24 |
| 1093837767 | Sayre Health Care Inc | Skilled Nursing Facility | 1 Quarter Mile E of Court House, Sayre, OK 73662 | 2007-04-04 |
| 1124104781 | Sonya` K Carlson | Pharmacist | 1601 N Watts St, Sayre, OK 73662 | 2006-10-27 |
| 1669558201 | Sam F Thornbrough | Pharmacist | 1601 N. Watts St., Sayre, OK 73662 | 2006-10-27 |
| 1417966284 | Roy Leaford Thornbrough | Dentist | 1605 North Watts Street, Sayre, OK 73662 | 2006-08-07 |
| 1346231826 | Sayre Public Schools | Public Health or Welfare | 716 Ne 66th St, Sayre, OK 73662 | 2005-11-02 |
| 1447247721 | Sayre Health Care | Nursing Care | 1/4 Mi E of Courthouse On Hwy 152, Sayre, OK 73662 | 2005-10-03 |
| 1801368113 | Hensley Nursing & Rehab LLC | Skilled Nursing Facility | 725 E. Main Street, Sayre, OK 73662 | 2018-12-27 |
| Find all providers in zip 73662 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568901577 | Renegade Performance LLC | Chiropractor | 418 S Keystone Ave, Sayre, PA 18840-1553 | 2017-02-23 |
| 1952846719 | Renegade Performance LLC | Chiropractor | 3226 Elmira St, Sayre, PA 18840-2670 | 2017-01-03 |
| 1538571534 | Melissa Ann Oldroyd | Chiropractor | 1790 Riverside Dr, Sayre, PA 18840-9326 | 2014-05-24 |
| 1851429146 | Heather Lynne Cutlip | Chiropractor | 202 Desmond St, Sayre, PA 18840-2004 | 2007-03-01 |
| 1508912148 | Duane Alan Danko | Chiropractor | 2316 Elmira Street, Sayre, PA 18840-2662 | 2007-01-26 |
| 1215903901 | Thomas S Annabel | Chiropractor | 189 South Keystone Ave, Sayre, PA 18840 | 2006-02-23 |
| 1598737652 | John P Kraft | Chiropractor | 117 W Lockhart St, Sayre, PA 18840-2007 | 2006-02-03 |
| 1750881710 | Ryan Anthony Mullen | Chiropractor | 418 S Keystone Ave, Sayre, PA 18840-1553 | 2018-02-16 |
| 1508364688 | Holly Snyder | Chiropractor | 418 S Keystone Ave, Sayre, PA 18840-1553 | 2018-01-24 |
| 1487951323 | Jason Robert Paulman | Chiropractor | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2011-02-11 |
| Find all providers in SAYRE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.