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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Tuesday, November 26, 2024 3:47 AM CST
Next Update: Tuesday, November 26, 2024 12:00 PM CST

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BROWN, BRADLEY SCOTT       
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 ADA
430 N MONTE VISTA
ADA OK 74820

Address last updated on 3/25/2024
Phone #: (580) 421-1127
Fax #:
County: PONTOTOC
License: 2908
Dated: 5/30/2018
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
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.
Locations: Hours: Languages:
MERCY ADA
430 N MONTE VISTA
ADA OK 74820

Phone #: (580) 421-1127
Fax #:

Hospital Privileges:

Mercy Hospital Ada (frmly Valley View Regional Hospital)
Ada, OK
Moore Medical Center
Moore, OK
Norman Regional Healthplex
Norman, OK
Norman Regional Hospital
Norman, OK

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
BENJAMIN DAVID LYNCH MD 29897
ROBIN MICHELLE MANTOOTH MD 19203
ALEXIA SMITH WRIGHT MD 27510

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