Brady Gene Englestead, M.D.

Pediatrics Physician · Pawnee, OK

Individual Active NPI

NPI number 1003892621

Practice location

1201 Heritage Circle
Pawnee, OK 74058
Phone
(918) 762-6536
Fax
(918) 762-4614

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NPI record

NPI
1003892621
Entity type
Individual (Type 1)
Enumeration date
December 15, 2005
Last updated
December 19, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X A54792 CA

Mailing address

3963 S. Highway 97 #113
Sand Springs, OK 74063
Phone
(918) 762-6536
Fax
(918) 762-4614

About Dr. Englestead

Brady Gene Englestead, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1201 Heritage Circle, Pawnee, OK 74058. The NPI number 1003892621 was assigned on December 15, 2005 and the record was last updated on December 19, 2011.

Dr. Englestead lists a license in the registry: #A54792 (CA) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brady Gene Englestead, M.D.?

The NPI number is 1003892621.

What is the phone number of Dr. Englestead?

The phone number listed for the practice location is (918) 762-6536.

Where is Dr. Englestead located?

1201 Heritage Circle, Pawnee, OK 74058.

What is the taxonomy code for Dr. Englestead?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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