BRADLEY D BEASLEY, DPM, Surgery, Foot & Ankle BROKEN ARROW, OK

Contact Information

BRADLEY D BEASLEY, DPM

800 W BOISE CIR
SUITE 150
BROKEN ARROW, OK 74012-4906

Phone: 918-274-1557
Fax: 918-274-8557
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for BRADLEY D BEASLEY · (Male)

NPI #	`1821102823`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	08/18/2006
Last updated	10/08/2014 - About 12 years ago
Sole proprietor ¹	Yes
Identifiers	OK License # 232
Hospital affiliation(s)	ST JOHN BROKEN ARROW - (Acute Care) 1000 WEST BOISE CIRCLE BROKEN ARROW, OK 74012

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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