Provider Demographics
NPI:1790853562
Name:BRUMMIT & ASSOCIATES, INC.
Entity Type:Organization
Organization Name:BRUMMIT & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BRUMMIT
Authorized Official - Suffix:
Authorized Official - Credentials:M A, R D, L D,
Authorized Official - Phone:918-645-5775
Mailing Address - Street 1:4418 MONTICELLO PL
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-1353
Mailing Address - Country:US
Mailing Address - Phone:918-645-5775
Mailing Address - Fax:580-242-4412
Practice Address - Street 1:4418 MONTICELLO PL
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-1353
Practice Address - Country:US
Practice Address - Phone:918-645-5775
Practice Address - Fax:580-242-4412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK478133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty