NPI |
1356629265 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
1 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Provider Last Name Legal Name |
BRUNER |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider First Name |
MARKUS |
The first name of the provider, if the provider
is an individual. |
Provider Middle Name |
T |
The middle name of the provider, if the provider
is an individual. |
Provider Name Prefix Text |
MR. |
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
Provider First Line Business Practice Location Address |
1330 N CLASSEN BLVD |
The State code in the location of the provider
being identified. |
Provider Second Line Business Practice Location Address |
SUITE G-50 |
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot
include a Post Office box. |
Provider Business Practice Location Address City Name |
OKLAHOMA CITY |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
OK |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
731066835 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
4056052292 |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number |
4056052266 |
The fax number associated with the location
address of the provider being identified. |
Provider Enumeration Date |
7/26/2011 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
7/26/2011 |
The date that a record was last updated or changed. |
Provider Gender Code |
M |
The code designating the provider’s gender if the provider is a person. |
Healthcare Provider Taxonomy Code 1 |
171M00000X |
The code designating the provider’s gender if the provider is a person. |
Provider License Number State Code 1 |
OK |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |