Broc S Derryberry in Oklahoma City - Chiropractor
Broc S Derryberry - NPI 1750506838
Broc S Derryberry is a Chiropractor in Oklahoma City, Oklahoma. Broc S Derryberry practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Broc S Derryberry is 1750506838. The last update date is 2016-02-05.
Broc S Derryberry's current location address is 5700 Se 74th St., Oklahoma City, Oklahoma. You can contact this provider via phone number 4057015777 and fax number 4057015778. The mailing address for Broc S Derryberry is 5700 Se 74th St., Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Broc S Derryberry |
|---|---|
| Address | 5700 Se 74th St., Oklahoma City, Oklahoma |
| Phone Number | 4057015777 |
| Fax Number | 4057015778 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1750506838 |
|---|---|
| Provider Enumeration Date | 2007-04-16 |
| Last Updated Date | 2016-02-05 |
Provider Mailing Address Detail
| Address | 5700 Se 74th St. |
|---|---|
| City | Oklahoma City |
| State | Oklahoma (OK) |
| Post Code | 73135 |
| Phone Number | 4057015777 |
| Fax Number | 4057015778 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3816 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Post Comment/ Review Below
What is the Broc S Derryberry's unique identification number?
The Broc S Derryberry has been assigned the NPI (National Provider Identifier) Number 1750506838 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Broc S Derryberry is geographically located?
The Broc S Derryberry is physically situated at the following location: 5700 Se 74Th St., Oklahoma City, OK, 73135.
What is Broc S Derryberry's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Broc S Derryberry is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did Broc S Derryberry receive its 1750506838 assignment?
The Broc S Derryberry was assigned its 1750506838 on 2007-04-16, which is the date when this unique identifier was issued to the organization.
As of what date were the Broc S Derryberry's details last updated?
The information pertaining to the Broc S Derryberry, including its address, specialty, and other details, was most recently updated on 2016-02-05.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI