Individual provider Active NPI

Ronald Edward Brunnabend II, D.O.

  • Obstetrics & Gynecology Physician
  • Oklahoma City, OK
National Provider Identifier
1023370640
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5476 Issued in OK
Practice address
13900 Quailbrook Dr BLDG a
Oklahoma City, OK 73134-1718
Phone
(833) 277-3692
NPI assigned
Jun 10, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2017033229 MO
Obstetrics & Gynecology Physician 207V00000X 5476 OK Primary

Addresses

Primary practice location

13900 Quailbrook Dr BLDG a
Oklahoma City, OK 73134-1718

Mailing address

3016 Thornbrooke Blvd
Edmond, OK 73013-6070

Other practice location 1

2340 E Meyer Blvd Ste 598
Kansas City, MO 64132-1112
Phone (816) 444-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OK, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180126000185 MO Practitioner - Obstetrics/Gynecology 7517226285 Reassigns benefits to 1 organization
I20190125001867 OK Practitioner - Obstetrics/Gynecology 7517226285 Reassigns benefits to 2 organizations
I20241212001832 TX Practitioner - Obstetrics/Gynecology 7517226285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

520 E 6TH St
Odessa, TX 79761-4527
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5476OKMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Missouri, PC Obstetrics & Gynecology CurrentSince Feb 1, 2023 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jan 7, 2019 Accepting new patients
Obhg Oklahoma, P.C. Obstetrics & Gynecology CurrentSince Dec 21, 2021 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Sep 23, 2024 Accepting new patients
Permian Women'S Center, P.a Obstetrics & Gynecology CurrentSince May 20, 2025 Accepting new patients
Midwest Division - RMC, LLC Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

2020 Arlington St
Ste 2
Ada, OK 74820
Phone (580) 436-1506

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736

5950 Saratoga Blvd
Corpus Christi, TX 78414
Phone (321) 917-9263

405 N Tom Green Ave
Odessa, TX 79761
Phone (432) 580-8976

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

Interoperability endpoints

  • Direct secure messaging: ronald.brunnabend@193575818493956.direct.elationemr.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/abd8726a-ad55-4f85-8206-9ee9deb6ac7b/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1023370640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 THORNBROOKE BLVD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 QUAILBROOK DR BLDG A",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341718",
            "telephone_number": "833-277-3692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2340 E Meyer Blvd Ste 598",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "641321112",
            "country_code": "US",
            "telephone_number": "816-444-6888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNNABEND",
        "first_name": "RONALD",
        "middle_name": "EDWARD",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-10",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2017033229",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OK",
            "license": "5476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.