Bradley Roscoe Littleton, APRN | |
108 Lone Oak Cir, Fort Gibson, OK 74434-5001 | |
(918) 478-6005 | |
(918) 478-6020 |
Full Name | Bradley Roscoe Littleton |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 108 Lone Oak Cir, Fort Gibson, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912597204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 200273 (Oklahoma) | Primary |
Entity Name | Creek Nation Hospital & Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Mailing Address | Practice Location Address |
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Bradley Roscoe Littleton, APRN 6600 S Yale Ave Ste 1200, Tulsa, OK 74136-3361 Ph: (918) 488-6687 | Bradley Roscoe Littleton, APRN 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 Ph: (918) 478-6005 |
Mrs. Susan Marie Miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Lone Oak Cir, Fort Gibson, OK 74434 Phone: 918-478-2101 Fax: 918-478-6008 | |
Tracy Lynn Berry-igert, MSN APRN FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 Lone Oak Cir, Fort Gibson, OK 74434 Phone: 918-478-6005 Fax: 918-478-6020 |