Individual
MR. JERRY D BRINDLEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 N PORTLAND AVE, OKLAHOMA CITY, OK 73112-2074
(405) 604-6000
Mailing address
5925 N ANN ARBOR AVE, OKLAHOMA CITY, OK 73122-7526
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
12214
OK
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
12214
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112000A
—
OK
Enumeration date
04/27/2006
Last updated
05/11/2010
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