PCD BRISTOW
NPI 1518242015
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Bristow, OK

Active since October 15, 2011
402 S MAIN ST, BRISTOW, OK 74010(610) 495-8900(610) 495-8560 Get Directions Write a Review

NPPES record last updated: February 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pcd Bristow NPPES

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

PCD BRISTOW (NPI 1518242015) is a healthcare organization registered as an end-stage renal disease (esrd) treatment in Bristow, Oklahoma and active in the NPI registry since October 2011. The organization lists Kelly Smith, Director Of Legal, as its authorized official.

NPPES Registry Identity

NPI1518242015
Entity TypeOrganization
Primary Taxonomy261QE0700X
Legal Business NamePHYSICIANS CHOICE DIALYSIS OF BRISTOW LLC
Location Address402 S MAIN STBristow, OK 74010-3204
Mailing Address211 Commerce Ct, Suite 104Pottstown, PA 19464-3483 · (610) 495-8900 · Fax (610) 495-8560
Fax(610) 495-8560
Organization SubpartNo
Authorized OfficialKelly SmithDirector Of Legal · (610) 495-8900
Enumeration DateOctober 15, 2011
Last NPPES UpdateFebruary 6, 2015
NPI 1518242015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · End-Stage Renal Disease (ESRD) TreatmentAmbulatory Health Care Facilities
Taxonomy Code261QE0700X
402 S MAIN ST, Bristow, OK 74010

Other Names 1

Other NamePcd Bristow

Other Identifiers 2

Medicaid200486820AAL
Medicare OSCAR/certification372584

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
402 S MAIN ST
BRISTOW, OK 74010

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 Physicians Choice Dialysis Of Bristow LLC's NPI number?

The NPI number for Physicians Choice Dialysis Of Bristow LLC is 1518242015. It was assigned to this organization in the NPPES registry on October 15, 2011. The provider is also known as Pcd Bristow.

Where is Physicians Choice Dialysis Of Bristow LLC located?

Physicians Choice Dialysis Of Bristow LLC is located at 402 S Main St, Bristow, OK 74010. The listed phone number is (610) 495-8900.

What is Physicians Choice Dialysis Of Bristow LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment, with taxonomy code 261QE0700X.

When was this NPI record last updated?

The NPPES record for Physicians Choice Dialysis Of Bristow LLC was last updated on February 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.