Provider Demographics
NPI:1043642812
Name:SCHARRER, BRANDON MICHAEL (DPT)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:MICHAEL
Last Name:SCHARRER
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 NW 7TH ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73102-1212
Mailing Address - Country:US
Mailing Address - Phone:405-609-3658
Mailing Address - Fax:800-506-3795
Practice Address - Street 1:13100 CLNY POINTE BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:PIEDMONT
Practice Address - State:OK
Practice Address - Zip Code:73078-8827
Practice Address - Country:US
Practice Address - Phone:405-283-9774
Practice Address - Fax:405-605-8638
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4702225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200504710AMedicaid
OK307992YLVHMedicare UPIN