Dr. Brad Alan Liston, DO
Dr. Brad Alan Liston, DO is a Family Practice in Ponca City, Oklahoma. Qualified in 2007, 19 years ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 19
- Licensed in
- OK
- In the registry since
- 2008
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
1908 N 14th St Ste 204Ponca City, OK 74601-2039
Phone: (580) 763-5900
Fax: (580) 763-5901
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X · Licence 4659 (OK) |
|---|
Record details
| NPI number | 1487817375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | September 16, 2020 |
| Certification date | September 16, 2020 |
| Mailing address | 1908 N 14th St Ste 204, Ponca City, OK 74601-2039 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2007 (19 years in practice) |
| Group practice | Integris Ambulatory Care Corporation — 683 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |