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Next Update: Thursday, December 19, 2024 12:00 PM CST
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BRIDWELL, MALCOLM EDWARD
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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.
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| Practice Address: |
125 N. BROADWAY
HOBART OK 73601-1900
Address last updated on 5/30/2011 |
| Phone #: |
(580) 726-3396 |
| Fax #: |
(580) 726-2983 |
| County: |
KIOWA |
| License: |
8313 |
| Dated: |
6/17/1964 |
| Expires: |
6/1/2012 |
| License Type: |
Medical Doctor |
| Specialty: |
Family Medicine |
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| Status: |
Inactive |
| Status Class: |
Deceased |
| Restricted to: |
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| Registered to Dispense: |
NO |
| Medical School: |
Univ Of Ok Coll Of Med, Oklahoma City Ok 73190 |
| Graduated: |
6 /
1964 |
| CME Year: |
2013 |
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Pending and/or Past Disciplinary Actions:
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| Date |
Action |
Reasons |
Remarks |
| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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| #1/1/1900# |
Past Disciplinary Action |
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Board Filings and/or Orders:
09/19/1980
05/28/1977
04/27/1977
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All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
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| Certifications: |
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| New Patients: |
No |
| Medicaid: |
No |
| Medicare: |
No |
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| HMO/PPO: |
Aetna HMO
Aetna PPO
Blue Cross Blue Shield-Blue Preferred
Blue Cross Blue Shield-Blue Traditional
Blue Cross Blue Shield-Plan 65 Select
BlueChoice PPO
HealthChoice
OSMA Health (formerly Plico PPO)
Preferred Community Choice
Prime Advantage Health Plan
Railroad Medicare
SoonerCare HMO
SoonerCare PPO
United Healthcare Choice
United Healthcare EPO
United Healthcare HMO
United Healthcare Options PPO
United Healthcare POS |
| Hospital Privileges: |
None listed |
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