# D BRENT TIPTON M D INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA D BRENT TIPTON M D INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538177225
- **Authorized official:** MS. JOY A. COSTNER (ACCOUNTS MANAGER)
- **Authorized official phone:** (405) 329-2390

## Contact information

- **Practice address:** 5100 N BROOKLINE AVE, SUITE 530, OKLAHOMA CITY, OK 73112-3623
- **Practice address phone:** (405) 604-6652
- **Practice address fax:** (405) 604-6653
- **Mailing address:** PO BOX 973, NORMAN, OK 73070-0973
- **Mailing address phone:** (405) 329-2390
- **Mailing address fax:** (405) 329-0486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 18762 | OK | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 11/02/2016