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NPI Code Detail

MEDICARE: DR. BRANDON RHINEHART D.O.

MEDICARE:  DR. BRANDON  RHINEHART  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician4552OK
2207N00000XDermatology Physician4552OK

General Provider Information

NPI Number : 1104814045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDON RHINEHART D.O.
Provider Business Mailing Address
First Line : 13100 N WESTERN
Second Line : STE 301
City : OKLAHOMA CITY
State : OK
Zip : 73114-1670
Country : US
Telephone Number : 405-947-6647
Fax Number : 405-948-6647
Provider Business Practice Location Address
First Line : 13100 N WESTERN
Second Line : STE 301
City : OKLAHOMA CITY
State : OK
Zip : 73114-1670
Country : US
Telephone Number : 405-947-6647
Fax Number : 405-948-6647
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 10/21/2025

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Directions to “ DR. BRANDON RHINEHART D.O.” Practice Location

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