MEDICARE: BILINGUAL PEDIATRIC THERAPIES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center	4508	OK

General Provider Information

NPI Number	:	1376906800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BILINGUAL PEDIATRIC THERAPIES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 12058
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73157-2058
Country	:	US
Telephone Number	:	405-355-3239
Fax Number	:	405-212-4270

Provider Business Practice Location Address
First Line	:	2401 NW 23RD ST STE 2D
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73107-2420
Country	:	US
Telephone Number	:	405-355-3239
Fax Number	:	405-212-4270

Authorized Official
Title or Position	:	CEO
Name	:	DOUGLAS EDWIN BROWN
Credential	:
Telephone Number	:	601-624-1237

Provider Enumeration Date	:	04/01/2016
Last Update Date	:	08/09/2023

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