BRANDON MEDICAL, LLC
NPI 1073511184
Prosthetic/Orthotic Supplier in Fort Gibson, OK

Active since July 12, 2005
110 NORTH LEE STREET, FORT GIBSON, OK 74434(918) 478-2845(918) 478-5519 Get Directions Write a Review

NPPES record last updated: September 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brandon Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON MEDICAL, LLC (NPI 1073511184) is a healthcare organization registered as a prosthetic/orthotic supplier in Fort Gibson, Oklahoma and active in the NPI registry since July 2005. The organization lists Steven M Brandon, President, as its authorized official.

NPPES Registry Identity

NPI1073511184
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameBRANDON MEDICAL, LLC
Location Address110 NORTH LEE STREETFort Gibson, OK 74434
Mailing AddressPo Box 684Fort Gibson, OK 74434-0684 · (918) 478-2845 · Fax (918) 478-5519
Fax(918) 478-5519
Organization SubpartNo
Authorized OfficialSteven M BrandonPresident · (918) 478-2845
Enumeration DateJuly 12, 2005
Last NPPES UpdateSeptember 30, 2008
NPI 1073511184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
110 NORTH LEE STREET, Fort Gibson, OK 74434

Other Names 1

Doing Business AsBrandon Medical, Llc

Other Identifiers 2

Other=========001OK · Blue Cross Blue Shield
Medicaid100812890AOK

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Medical, LLC's NPI number?

The NPI number for Brandon Medical, LLC is 1073511184. It was assigned to this organization in the NPPES registry on July 12, 2005.

Where is Brandon Medical, LLC located?

Brandon Medical, LLC is located at 110 North Lee Street, Fort Gibson, OK 74434. The listed phone number is (918) 478-2845.

What is Brandon Medical, LLC's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Brandon Medical, LLC was last updated on September 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.