| Brian P Levy MD PLLC | |
|
124 N Bryant Ave C4 Edmond OK 73034-6305 | |
| (405) 330-7606 | |
| Not Available |
| Full Name | Brian P Levy MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 124 N Bryant Ave, Edmond, Oklahoma |
| Authorized Official Name and Position | Brian P Levy (OWNER) |
| Authorized Official Contact | 4053307606 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian P Levy MD PLLC 124 N Bryant Ave C4 Edmond OK 73034-6305 Ph: (405) 330-7606 | Brian P Levy MD PLLC 124 N Bryant Ave C4 Edmond OK 73034-6305 Ph: (405) 330-7606 |
| NPI Number | 1326474586 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 12/26/2013 |
| Medicare PECOS PAC ID | 5597992768 |
|---|---|
| Medicare Enrollment ID | O20131213000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326474586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Brian P Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033186473 PECOS PAC ID: 6305915182 Enrollment ID: I20100429001058 |
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