Provider Demographics
NPI:1326869454
Name:BOWIE, BRADIN COLE (DC)
Entity type:Individual
Prefix:DR
First Name:BRADIN
Middle Name:COLE
Last Name:BOWIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37725 HIGHWAY 9
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-5142
Mailing Address - Country:US
Mailing Address - Phone:405-585-1394
Mailing Address - Fax:
Practice Address - Street 1:12600 N PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-9428
Practice Address - Country:US
Practice Address - Phone:405-943-0303
Practice Address - Fax:405-272-0515
Is Sole Proprietor?:No
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor