Individual
BRADLEY DEMARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1122 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-4351
(405) 271-8695
Mailing address
1122 NE 13TH ST, OKLAHOMA CITY, OK 73117-1039
(405) 271-4351
(405) 271-8695
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301081748
MI
208600000X
Surgery Physician
62490
WI
208600000X
Surgery Physician
Primary
MD 60095073
WA
208600000X
Surgery Physician
MD213136
OR
2086S0102X
Surgical Critical Care Physician
37785
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477768364
—
WI
Enumeration date
05/14/2007
Last updated
12/05/2025
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