Provider Demographics
NPI:1114202090
Name:BROWN, ADRIAN A (BHRS)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:BHRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 WILSHIRE BLVD SUITE B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-7777
Mailing Address - Country:US
Mailing Address - Phone:405-824-9252
Mailing Address - Fax:405-749-2892
Practice Address - Street 1:433 WILSHIRE BLVD SUITE B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-7777
Practice Address - Country:US
Practice Address - Phone:405-824-9252
Practice Address - Fax:405-749-2892
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner