Provider Demographics
NPI:1265400667
Name:STEWARD, BRENT E (MD)
Entity type:Individual
Prefix:DR
First Name:BRENT
Middle Name:E
Last Name:STEWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:226 SE DEBELL AVE
Mailing Address - Street 2:BLDG. A
Mailing Address - City:BARTLESVILLE
Mailing Address - State:OK
Mailing Address - Zip Code:74006-2343
Mailing Address - Country:US
Mailing Address - Phone:918-331-1045
Mailing Address - Fax:918-331-1051
Practice Address - Street 1:224 SE DEBELL AVE
Practice Address - Street 2:
Practice Address - City:BARTLESVILLE
Practice Address - State:OK
Practice Address - Zip Code:74006-2305
Practice Address - Country:US
Practice Address - Phone:918-331-1090
Practice Address - Fax:918-331-1090
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2011-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-25991208600000X
OK26976208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery