Individual provider Active NPI

Reggie Vulgamore

  • Electroneurodiagnostic Specialist/Technologist
  • Oklahoma City, OK
National Provider Identifier
1053784934
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X
Practice address
12301 N McArthur Blvd Apt 1811
Oklahoma City, OK 73142-3056
Phone
(405) 706-2023
NPI assigned
Nov 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X Primary

Addresses

Primary practice location

12301 N McArthur Blvd Apt 1811
Oklahoma City, OK 73142-3056

Mailing address

12301 N McArthur Blvd Apt 1811
Oklahoma City, OK 73142-3056
Phone (405) 706-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1053784934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 N MCARTHUR BLVD APT 1811",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423056",
            "telephone_number": "405-706-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 N MCARTHUR BLVD APT 1811",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731423056",
            "telephone_number": "405-706-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VULGAMORE",
        "first_name": "REGGIE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.