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

Mr. Brandon Crosthwait, BSRTRDMSRVTRDCS

Individual provider Technician/Technologist · NPI 1811743586

Mr. Brandon Crosthwait, BSRTRDMSRVTRDCS is a Technician/Technologist in Shawnee, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2024
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Practice location Address checks out

3315 Kethley Rd
Shawnee, OK 74804-9638
Phone: (405) 273-5801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Technician/Technologist (primary) Taxonomy 156F00000X · Licence 103654 (OK)

Record details

NPI number1811743586
Entity typeIndividual (Type 1)
GenderMale
Credentials BSRTRDMSRVTRDCS
Sole proprietorYes
NPI enumeratedApril 24, 2024
Last updated in NPPESApril 24, 2024
Certification dateApril 24, 2024

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