Healthcare Provider Details

I. General information

NPI: 1528922754
Provider Name (Legal Business Name): BRENT MATTHEW MCCALMON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19801 E LINDSEY ST
NORMAN OK
73026-9814
US

IV. Provider business mailing address

3824 COBBLE CIR
NORMAN OK
73072-4000
US

V. Phone/Fax

Practice location:
  • Phone: 405-831-8897
  • Fax:
Mailing address:
  • Phone: 405-831-8897
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number4595
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: