BRYCE DODGE (NPI# 1538565585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538565585 |
| Entity Type | Individual |
| Full Name | BRYCE DODGE |
| Practice Address |
1477 Sue Cir Piedmont OK 73078-8975 |
| Mailing Address |
100 S Monroe St Ste 5 Elk City OK 73644-5761 |
| Practice Telephone | 4057638063 |
| Mailing Telephone | 4057638063 |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
1477 SUE CIR |
| City | PIEDMONT |
| State | OK |
| Zip Code | 73078-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326426073 | Kyanne Whiteneck | Case Manager/Care Coordinator | 1477 Sue Cir, Piedmont, OK 73078-8975 | 2015-05-14 |
| 1982000931 | Streyden Whiteneck | Specialist | 1477 Sue Cir, Piedmont, OK 73078-8975 | 2014-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720401565 | Julie Ford | Clinic/Center | 2726 Amy Court Ne, Piedmont, OK 73078 | 2014-01-30 |
| 1619018413 | Chiropractic Center of Oklahoma Inc | Clinic/Center | 51 Gooder Simpson Blvd. Ne, Ste B, Piedmont, OK 73078 | 2007-02-12 |
| 1174693279 | Brownlee Optometry Pllc | Optometrist | 51 Gooder Simpson Blvd., Ste. C, Piedmont, OK 73078 | 2006-11-08 |
| 1699867119 | Ryan Scott Aebi | Chiropractor | 13000 Lacresta Drive, Piedmont, OK 73078 | 2006-09-29 |
| 1144233867 | Maurice Ernest Corman M D Pllc | Family Medicine | 63 Gooder Simpson Blvd., Piedmont, OK 73078 | 2006-08-14 |
| 1639104995 | Robert Kent Rickey | Dentist | 104 Piedmont Road, Piedmont, OK 73078 | 2006-07-12 |
| 1346841673 | Nugenex Plus Aprn-cnp Pllc | Family Medicine | 13425 Deer Spring Dr, Piedmont, OK 73078-3001 | 2020-11-03 |
| 1154834828 | Victoria Mankuburigi Mate-kole | Registered Nurse | 11816 Nw 134th St, Piedmont, OK 73078-3004 | 2017-11-15 |
| 1295290914 | Derek Thomas Bowden | Peer Specialist | 11820 Nw 131st St, Piedmont, OK 73078-3014 | 2019-02-06 |
| 1104299247 | F&e Cummings LLC | Social Worker | 12101 Nw 133rd Ter, Piedmont, OK 73078-3022 | 2015-11-11 |
| Find all providers in zip 73078 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356516983 | Joseph Edwin Yarris | Specialist | 254 Sheridan Ave, Piedmont, CA 94611-3812 | 2008-04-24 |
| 1487854956 | Upstate Neurology, P.a. | Specialist | 103 Clair Drive, Suite D, Piedmont, SC 29673 | 2007-07-23 |
| 1982000931 | Streyden Whiteneck | Specialist | 1477 Sue Cir, Piedmont, OK 73078-8975 | 2014-11-18 |
| 1578886289 | Human Performance Center 9 | Specialist | 1841 Piedmont Rd N Ste C, Piedmont, OK 73078-9811 | 2010-03-09 |
| 1447456975 | Foothills Ortho & Sports Medicine | Specialist | 3150 Highway 153, Piedmont, SC 29673-9498 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244317 | Hannah Robinette | Specialist | 1822 N Perkins Rd Apt 1535, Stillwater, OK 74075-3138 | 2020-10-28 |
| 1962001453 | Chantelle Nicole Craig | Specialist | 515 S Hafner St, Stillwater, OK 74074-3980 | 2020-10-26 |
| 1073131496 | Ginger Dawn Weber | Specialist | 1431 Hite Blvd, Enid, OK 73703-7938 | 2020-07-13 |
| 1558993568 | Ihelpc LLC | Specialist | 913 N Roosevelt Ave, Sand Springs, OK 74063-7329 | 2020-02-07 |
| 1467092924 | Gabrielle Mae Fielstra | Specialist | 1711 S 77th East Ave, Tulsa, OK 74112-7817 | 2020-01-13 |
| 1821649146 | Stacie Garrett | Specialist | 15487 State Highway 17, Fletcher, OK 73541-4011 | 2019-09-27 |
| 1992355994 | Heaven Lax | Specialist | 1229 Live Oak St, Muskogee, OK 74403-2542 | 2019-09-12 |
| 1295383289 | Keto Wellness and Hormone Clinic | Specialist | 900 N Porter Ave Ste 212, Norman, OK 73071-6485 | 2019-09-03 |
| 1932634789 | Suboxone Solutions LLC | Specialist | 10813 N Macarthur Blvd Ste W, Oklahoma City, OK 73162-6904 | 2017-04-28 |
| 1538609037 | Melissa Lanier | Specialist | 801 N. Louisa, Shawnee, OK 74801 | 2017-03-02 |
| Find all providers with the same taxonomy | ||||
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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.