Healthcare Provider Details

I. General information

NPI: 1821181744
Provider Name (Legal Business Name): BRIXTON SQUARE CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7304 N COMANCHE AVE
WARR ACRES OK
73132-6635
US

IV. Provider business mailing address

7304 N COMANCHE AVE
WARR ACRES OK
73132-6635
US

V. Phone/Fax

Practice location:
  • Phone: 405-728-4851
  • Fax: 405-728-0443
Mailing address:
  • Phone: 405-728-4851
  • Fax: 405-728-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3804
License Number StateOK

VIII. Authorized Official

Name: MRS. APRIL YOUNG
Title or Position: PRACTICE MANAGER
Credential:
Phone: 405-837-6478