Brady Gene Englestead, MD is a
Pediatrics physician based in Pawnee, Oklahoma. Brady Gene Englestead is licensed to practice in California (license number A54792) and his current practice location is 1201 Heritage Circle, Pawnee, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 762-6536.
NPI number for Brady Gene Englestead is 1003892621 and his current mailing address is 3963 S. Highway 97 #113, Sand Springs, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003892621.
Physician's Profile
| Full Name | Brady Gene Englestead |
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| Gender | Male |
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| Speciality | Pediatrics |
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| Location | 1201 Heritage Circle, Pawnee, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003892621
- Provider Enumeration Date: 12/15/2005
- Last Update Date: 12/19/2011
Medical Identifiers
Medical identifiers for Brady Gene Englestead such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003892621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | A54792 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brady Gene Englestead is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Brady Gene Englestead, MD
3963 S. Highway 97 #113,
Sand Springs, OK 74063
Ph: (918) 762-6536 | Brady Gene Englestead, MD
1201 Heritage Circle,
Pawnee, OK 74058
Ph: (918) 762-6536 |
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