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CRAIGE M BRESTEL MD PLLC NPI 1225298979


NPI Information

NPI: 1225298979
Provider Name: CRAIGE M BRESTEL MD PLLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
3401 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401
Phone: (918) 687-5477
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CRAIGE M BRESTEL MD PLLC is an obstetrics gynecology in Muskogee, OK. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CRAIGE M BRESTEL MD PLLC NPI is 1225298979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3401 W BROADWAY ST
MUSKOGEE, OK
ZIP 74401-136
Phone: (918) 687-5477
Fax: (918) 687-0684

The provider's authorized official is Craige Montane Brestel .
The authorized official title is Sole Member and has the following contact phone number (918) 687-5477.

The enumeration date for this NPI number is 6/16/2008 and was last updated on 10/31/2012.


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
1207V00000XObstetrics & Gynecology19912OKLAHOMAYes

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
1200317890BMEDICAIDOKLAHOMA
2200317890AMEDICAIDOKLAHOMA

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: 11/14/2023

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