MARK A. BRANDENBURG (NPI# 1588621627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588621627 |
| Entity Type | Individual |
| Full Name | MARK A. BRANDENBURG |
| Credential | MD |
| Practice Address |
2929 S Garnett Rd Tulsa OK 74129-5101 |
| Mailing Address |
Po Box 22063 Dept 0289 Tulsa OK 74121-2063 |
| Practice Telephone | 9186651520 |
| Practice Fax Number | 4057494561 |
| Mailing Telephone | 4057514664 |
| Mailing Fax Number | 4057494561 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 18449 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100249150B | 05 |
| Street Address |
2929 S GARNETT RD |
| City | TULSA |
| State | OK |
| Zip Code | 74129-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871562124 | Stacey L Morrison | Physician Assistant | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2006-03-17 |
| 1831654672 | Kelsey Leigh Thompson | Nurse Practitioner | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2019-02-06 |
| 1477091049 | Leslie Taylor Joliff | Physician Assistant | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2017-02-03 |
| 1336518786 | Natalie Renaye Jones | Nurse Practitioner | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2015-09-16 |
| 1548509177 | Courtney Rose Garner | Nurse Practitioner | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2013-02-01 |
| 1821126764 | Jorge Allen Gorton | Physician Assistant | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2007-03-01 |
| 1962413864 | Daniel J Oetken | Physician Assistant | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2006-08-10 |
| 1295793099 | Roger L. Moore | Physician Assistant | 2929 S Garnett Rd, C/o Medcenter, Tulsa, OK 74129-5101 | 2006-05-02 |
| 1659338796 | Doyle D. Bender | Emergency Medicine | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2006-05-01 |
| 1548228604 | Richard W. Rodgers | Emergency Medicine | 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 2006-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114405594 | Go2therapy LLC | Counselor | 6931 E 31st Street, Unit 31, Tulsa, OK 74129 | 2018-07-30 |
| 1417472259 | Brooke Javon Denton | Physician Assistant | 2924 S. 98th East Ave, Tulsa, OK 74129 | 2017-08-12 |
| 1952459489 | Cleartone Hearing Aid Laboratories Inc | Hearing Instrument Specialist | 2323 South Sheridan, Tulsa, OK 74129 | 2007-01-08 |
| 1407879422 | Lonnie F Morris | Psychiatry & Neurology | 2316 S. Garnett, Suite E, Tulsa, OK 74129 | 2006-07-25 |
| 1902876360 | Carla Jean Pohl | Advanced Practice Midwife | 2815 S Sheridan Rd, Tulsa, OK 74129 | 2006-01-26 |
| 1710458856 | Brittany Paige Watkins | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-12-16 |
| 1043799968 | Latosha Renee | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-08-10 |
| 1285128710 | Amanda Danielle Woods-roberts | Social Worker | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-18 |
| 1407349129 | Terri Lynne Ross | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-06-07 |
| 1225529449 | Sydney Herburger | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129 | 2018-05-23 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457715799 | John Carl Sacra | Emergency Medicine | 7911 S. Hudson Pl, Tulsa, OK 74136 | 2016-04-13 |
| 1730568965 | Brianne C Roepke | Emergency Medicine | 744 West 9th St, Tulsa, OK 74127-9028 | 2015-05-20 |
| 1164818993 | Theresa Jackson | Emergency Medicine | 4629 E 13th Pl, Tulsa, OK 74112-6103 | 2015-04-08 |
| 1710371448 | Medexpress Urgent Care, PC - Oklahoma | Emergency Medicine | 2140 S Yale Avenue, Tulsa, OK 74114-2122 | 2015-03-19 |
| 1992148407 | Kevin Thomas Kierl | Emergency Medicine | 1145 S Utica Ave Fl 6, Tulsa, OK 74104-4000 | 2013-04-15 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1437457009 | Matthew Jenkins | Emergency Medicine | 20 E 5th St Ste 620, Tulsa, OK 74103-4441 | 2011-03-07 |
| 1073819314 | Shane Marshall | Emergency Medicine | 4813 S 187th East Ave, Tulsa, OK 74134-7203 | 2011-02-03 |
| 1316178874 | Wyatt-dean Avery Pickering | Emergency Medicine | 1223 S Lawton Ave, Tulsa, OK 74127-9173 | 2009-08-01 |
| 1891959581 | Michael Richard Schiesel | Emergency Medicine | 1923 S Knoxville Ave, Tulsa, OK 74112-6841 | 2008-07-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.