Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Revive Medical LLC

Organization General Practice Physician · NPI 1528578499

Revive Medical LLC is a General Practice Physician in Oklahoma City, Oklahoma. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4215 N Classen Blvd Ste 103
Oklahoma City, OK 73118
Phone: (951) 440-1652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1528578499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Brown — Owner · (405) 673-7856
NPI enumeratedOctober 5, 2017
Last updated in NPPESAugust 22, 2018
Mailing address4215 N Classen Blvd Ste 103, Oklahoma City, OK 73118-2431

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