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MR. GARY BRADFORD NPI 1124327267


NPI Information

NPI: 1124327267
Provider Name: MR. GARY BRADFORD
Classification: Dietary Manager - 132700000X
Entity Type: Individual
Address:
928 N YORK ST
SUITE 20
MUSKOGEE, OK
ZIP 74403
Phone: (918) 913-9109
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MR. Gary Bradford is a dietary manager in Muskogee, OK. The provider is a dietary manager is a trained food services professional who is charged with maintaining cost/profit objectives, purchasing foods and services for the department and supervising staff.. Dietary managers are trained to understand the basic nutritional needs of clients and work in partnership with dietitians, who offer specialized nutritional expertise. The CDM certified dietary manager designation is an advanced professional credential awarded to dietary managers who have completed specific course work, have passed the national credentialing exams (including a sanitation and safety exam) and have applied for certification. MR. Gary Bradford NPI is 1124327267. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

928 N YORK ST
SUITE 20
MUSKOGEE, OK
ZIP 74403-123
Phone: (918) 913-9109
Fax: (918) 913-9112

The enumeration date for this NPI number is 3/15/2011 and was last updated on 10/14/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1132700000XDietary ManagerYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100700630AMEDICARE PINOKLAHOMA
2380025MEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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