Brant Bennett, Md Pllc | |
3500 Healthplex Pkwy # 102 Norman OK 73072-9738 | |
(405) 307-6955 | |
Not Available |
Full Name | Brant Bennett, Md Pllc |
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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 |
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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 |
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Provider Enumeration Date | 05/31/2019 |
Last Update Date | 05/31/2019 |
Medicare PECOS PAC ID | 3375879745 |
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Medicare Enrollment ID | O20190723001436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790343085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brant Quinn Bennett |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841519360 PECOS PAC ID: 5193977650 Enrollment ID: I20121207000099 |
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