HomeNPI Verification

NPI Verification

National Provider Identifier: 1164609046

Bradley Dale Pittman, PA-C

Individual Provider

Credentials

PA-C

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Physician Assistant

Code: 363A00000X

Primary

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Practice Address

1000 15TH ST

WOODWARD, OK 73801

Phone: 580-256-1236

NPI Enumeration Date

January 23, 2008

NPI Number

1164609046

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry