Individual ProviderBrittny Rayeann BradfordCase Manager/Care CoordinatorOther Service ProvidersPractice Address1605 N Harrison St, Shawnee, OK 74804-4022(405) 481-7187(405) 570-8596PECOS EnrollmentBased on the most recent information from CMS, provider Brittny Rayeann Bradford does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1902464308Provider TypeIndividualFull NameBradford, Brittny RayeannGenderFemaleSole ProprietorNoEnumeration Date5/31/2019Last Updated5/31/2019Contact InformationPractice LocationPractice Address1605 N Harrison St, Shawnee, OK 74804-4022Phone(405) 481-7187FaxUnlisted FaxMailing LocationMailing Address102931 S 3520 Rd, Prague, OK 74864-1021Phone(405) 570-8596FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer