IndividualActive
Brian Dickson
NPI 1508609215 · Pediatrics Physician · Oklahoma City, OK
Provider details
- NPI number
- 1508609215
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 1508609215 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone: (405) 271-4417
Approximate (ZIP-level) locationGet directions
Mailing address
8301 Nw 163rd Ter
Edmond, OK 73013-6009
Registry dates
- Enumerated
- 2024-06-18
- Last updated
- 2026-05-16
- Certified
- 2026-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.