Douglas O Brady


Address: 1401 Sw Parkridge Blvd, Suite D, Lawton, OK 73505-9200

Douglas O Brady (NPI# 1467660803, PAC ID# 7911169776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1467660803
PAC ID by PECOS 7911169776
Professional Enrollment ID I20120424000689
Full Name Douglas O Brady
Address 1401 Sw Parkridge Blvd
Suite D
Lawton
OK 73505-9200
Gender M
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1401 Sw Parkridge Blvd, Suite D, Lawton, OK 73505-9200

Organization Information

Office Location

Street Address 1401 SW PARKRIDGE BLVD
SUITE D
City LAWTON
State OK
Zip 73505-9200

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Competitor

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City LAWTON
Zip Code 73505
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty LAWTON + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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