MEDICARE: DR. BRANDON DENNIS BYRD D.C.

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	111N00000X	Chiropractor	3582	OK

General Provider Information

NPI Number	:	1528023769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRANDON DENNIS BYRD D.C.

Provider Business Mailing Address
First Line	:	1403 E MAIN ST
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-5722
Country	:	US
Telephone Number	:	580-414-3569
Fax Number	:	580-330-1117

Provider Business Practice Location Address
First Line	:	1403 E MAIN ST
Second Line	:
City	:	WEATHERFORD
State	:	OK
Zip	:	73096-5722
Country	:	US
Telephone Number	:	580-414-3569
Fax Number	:	580-330-1117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	06/04/2026

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