Bryon Keith Wade Jr.
Peer Specialist · Pryor, OK
NPI number
1104794973
Practice location
109 N Fairland StPryor, OK 74361-4205
- Phone
- (918) 625-6128
NPI record
- NPI
- 1104794973
- Entity type
- Individual (Type 1)
- Enumeration date
- October 24, 2025
- Last updated
- October 24, 2025
- Certified
- October 24, 2025
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
— | OK |
About Bryon Wade
Bryon Keith Wade Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 109 N Fairland St, Pryor, OK 74361-4205. The NPI number 1104794973 was assigned on October 24, 2025 and the record was last updated on October 24, 2025.
Frequently asked questions
What is the NPI number of Bryon Keith Wade Jr.?
The NPI number is 1104794973.
What is the phone number of Bryon Wade?
The phone number listed for the practice location is (918) 625-6128.
Where is Bryon Wade located?
109 N Fairland St, Pryor, OK 74361-4205.
What is the taxonomy code for Bryon Wade?
The primary taxonomy code is 175T00000X – Peer Specialist.
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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