Individual provider · NPI-1

Dr. Brandon Micheal Bailey, DO

Internal Medicine · Tulsa, OK

NPI number1104181973
StatusActive
Last updated in NPPESAug 2, 2023

Details

NPI
1104181973
Entity type
Individual (NPI-1)
Name
Dr. Brandon Micheal Bailey
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jul 9, 2012
Certification date
Aug 2, 2023
Last updated
Aug 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine5349OKYes
208M00000X Hospitalist5349OK

Practice location

2811 E 15th St Ste 102
Tulsa, OK 74104-5242

Phone 918-935-3240 · Fax 918-935-3241

Mailing address

2811 E 15th St Ste 102
Tulsa, OK 74104-5242

Phone 918-935-3240 · Fax 918-935-3241

Other practice locations

1400 E Downing St
Tahlequah, OK 74464-3324

Phone 918-456-0641

6048a S Sheridan Rd
Tulsa, OK 74145

Phone 918-935-3240 · Fax 918-935-3241

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