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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 8:19 AM CST
Next Update: Friday, November 22, 2024 12:00 PM CST

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BROWN, BRANDON STEPHEN       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: MERCY HEALTH CENTER
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Address last updated on 5/3/2024
Phone #: (405) 936-5734
Fax #: (405) 936-5488
County: OKLAHOMA
License: 27722
Dated: 7/1/2011
Expires: 7/1/2025
License Type: Medical Doctor
Specialty: Emergency Medicine
Status: Active
Status Class: Fully Licensed
Restricted to:
Registered to Dispense: NO
Medical School: Univ Of Ok Coll Of Med, Oklahoma City Ok 73190
Graduated: 5 / 2010
CME Year: 2026
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF EMERGENCY MEDICINE
New Patients: Contact licensee
Medicaid: Yes
Medicare: Yes
   
HMO/PPO: None listed
Hospital Privileges: Mercy Hospital OKC
Oklahoma City, OK
Locations: Hours: Languages:
MERCY HEALTH CENTER
4300 WEST MEMORIAL ROAD
OKLAHOMA CITY OK 73120

Phone #: (405) 936-5734
Fax #: (405) 936-5488
Mon:
Tue:
Wed:
Thu:
Fri:
Sat:
Sun:
Primary Supervisees(s):
Name: Type: License Number: Full/Part Time:
WADE MICHAEL BITTLE PA 1681
JACOB C. BROWN PA 2738
CHASITY JANE BUTLER PA 2661
JEROME DARIO ALDO DINAN PA 2008
THOMAS FRASIER ENGLE PA 1786
NATHAN WAYNE FITE PA 2309
DANIEL LESTER HARRIS JR PA 2301
CHAD NICHOLAS HUDSON PA 961
SCOTT RANDALL INTERWICZ PA 2304
JEFFREY NEIL JOHNSTON PA 2508
KEVIN GRANT KINKADE PA 2531
TYLER SMITH APRN 105650
JOSEPH N STANCAMPIANO PA 4679
CARLOS VENEGAS JR APRN 116073

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