Healthcare Provider Details

I. General information

NPI: 1215167150
Provider Name (Legal Business Name): LUTHER BRANDON OAKES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2009
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S COLORADO ST
GREENVILLE MS
38703-7216
US

IV. Provider business mailing address

1600 S COLORADO ST
GREENVILLE MS
38703-7216
US

V. Phone/Fax

Practice location:
  • Phone: 662-335-3252
  • Fax: 662-269-4480
Mailing address:
  • Phone: 662-335-3252
  • Fax: 662-269-4480

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number22238
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: