MR. BRIAN KEITH WILBOURN NPI 1811675002

NPI Information

NPI: 1811675002
Provider Name: MR. BRIAN KEITH WILBOURN
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
32018 HWY 59-OK
MAUD, OK
ZIP 74854
Phone: (405) 374-1225
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MR. Brian Keith Wilbourn is a peer specialist in Maud, OK. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Brian Keith Wilbourn NPI is 1811675002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32018 HWY 59-OK
MAUD, OK
ZIP 74854
Phone: (405) 374-1225
Fax: (866) 201-3530

The enumeration date for this NPI number is 7/7/2023 and was last updated on 7/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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