BRANDON MEDICAL LLC NPI 1073511184

NPI Information

NPI: 1073511184
Provider Name: BRANDON MEDICAL, LLC
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Organization
Doing Business As: BRANDON MEDICAL, LLC
Address: 110 NORTH LEE STREET
FORT GIBSON, OK
ZIP 74434
Phone: (918) 478-2845

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NPI Details

BRANDON MEDICAL, LLC is a prosthetic orthotic supplier in Fort Gibson, OK. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. BRANDON MEDICAL, LLC NPI is 1073511184. The provider is registered as an organization entity type.
The provider Is Doing Business As Brandon Medical, Llc.

The provider's business location address is:

110 NORTH LEE STREET
FORT GIBSON, OK
ZIP 74434
Phone: (918) 478-2845
Fax: (918) 478-5519

The provider's authorized official is Steven M Brandon .
The authorized official title is President and has the following contact phone number (918) 478-2845.

The enumeration date for this NPI number is 7/12/2005 and was last updated on 9/30/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========001	OTHER	OKLAHOMA	BLUE CROSS BLUE SHIELD
2	100812890A	MEDICAID	OKLAHOMA

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: 11/21/2025

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