REVIVE MEDICAL LLC – NPI #1528578499
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

REVIVE MEDICAL LLC is a provider located in OKLAHOMA CITY, OK. NPPES has assigned the NPI number 1528578499 to REVIVE MEDICAL LLC on October 05, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 8 years ago on Aug 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REVIVE MEDICAL LLC below.

NPI Profile for
REVIVE MEDICAL LLC

NPI Number
1528578499
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
REVIVE MEDICAL LLC
Primary location
4215 N CLASSEN BLVD STE 103
OKLAHOMA CITY, OK 73118
Phone: (951) 440-1652 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KEVIN BROWN
OWNER
Phone: (405) 673-7856
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.