Healthcare Provider Details

I. General information

NPI: 1063546687
Provider Name (Legal Business Name): BRETT M. PROPES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 S WESTERN AVE
OKLAHOMA CITY OK
73139-2728
US

IV. Provider business mailing address

9301 S WESTERN AVE
OKLAHOMA CITY OK
73139-2728
US

V. Phone/Fax

Practice location:
  • Phone: 405-759-7725
  • Fax: 405-759-7730
Mailing address:
  • Phone: 405-759-7725
  • Fax: 405-759-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number22435
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: