Provider Demographics
NPI:1255517090
Name:BPA, P.C.
Entity type:Organization
Organization Name:BPA, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:ELLIOTT
Authorized Official - Last Name:HEMSTREET
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:580-234-5330
Mailing Address - Street 1:1026 N OAKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73703-2924
Mailing Address - Country:US
Mailing Address - Phone:580-234-5330
Mailing Address - Fax:580-234-8793
Practice Address - Street 1:1026 N OAKWOOD RD
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-2924
Practice Address - Country:US
Practice Address - Phone:580-234-5330
Practice Address - Fax:580-234-8793
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK899103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty