Provider Demographics
NPI:1669799441
Name:BRANAGAN, PATRICK PAUL (DPM)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:PAUL
Last Name:BRANAGAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2431 E 61ST ST STE 500
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-1208
Mailing Address - Country:US
Mailing Address - Phone:918-582-6800
Mailing Address - Fax:918-582-6060
Practice Address - Street 1:512 N FRANKLIN ST STE 200
Practice Address - Street 2:
Practice Address - City:JENKS
Practice Address - State:OK
Practice Address - Zip Code:74037-2490
Practice Address - Country:US
Practice Address - Phone:918-582-6800
Practice Address - Fax:918-582-6060
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK322213EP1101X, 213EP1101X
MD01536213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE602OtherNATIONAL CAP BLUE
MDH792OtherBLUE CROSS
MDH792OtherBLUE CROSS