Healthcare Provider Details

I. General information

NPI: 1528023769
Provider Name (Legal Business Name): BRANDON DENNIS BYRD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1403 E MAIN ST
WEATHERFORD OK
73096-5722
US

IV. Provider business mailing address

1403 E MAIN ST
WEATHERFORD OK
73096-5722
US

V. Phone/Fax

Practice location:
  • Phone: 580-414-3569
  • Fax: 580-330-1117
Mailing address:
  • Phone: 580-414-3569
  • Fax: 580-330-1117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3582
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: