| Brant Bennett, MD PLLC | |
|
3500 Healthplex Pkwy # 102 Norman OK 73072-9738 | |
| (405) 307-6955 | |
| Not Available |
| Full Name | Brant Bennett, MD PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3500 Healthplex Pkwy # 102, Norman, Oklahoma |
| Authorized Official Name and Position | Brant Quinn Bennett (PHYSICIAN) |
| Authorized Official Contact | 4059240050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brant Bennett, MD PLLC 305 Summit Crest Ln Norman OK 73071-4083 Ph: (405) 924-0050 | Brant Bennett, MD PLLC 3500 Healthplex Pkwy # 102 Norman OK 73072-9738 Ph: (405) 307-6955 |
| NPI Number | 1790343085 |
|---|---|
| Provider Enumeration Date | 05/31/2019 |
| Last Update Date | 05/31/2019 |
| Medicare PECOS PAC ID | 3375879745 |
|---|---|
| Medicare Enrollment ID | O20190723001436 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790343085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Brant Quinn Bennett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841519360 PECOS PAC ID: 5193977650 Enrollment ID: I20121207000099 |
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