Active NPI
Bruce E Kennedy, CRNA
- Certified Registered Nurse Anesthetist
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 52074
- Practice address
- 415 W Gray St
Norman, OK 73069-7117 - Phone
- (405) 364-6182
- Fax
- (405) 364-5379
- NPI assigned
- Jun 26, 2006
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 52074 | OK | Primary |
Addresses
Primary practice location
415 W Gray St
Norman, OK 73069-7117
Mailing address
415 W Gray St
Norman, OK 73069-7117
Phone (405) 364-6182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52074 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nga Anesthesia PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Norman Regional Providers Specialty Care | Current | Accepting new patients | |
| Norman Anesthesia Providers, P.C. | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Grove General Hospital | Past | Accepting new patients |
Locations
3121 S Telephone Rd
Moore, OK 73160
Phone (405) 321-0370
1125 N Porter Ave
Ste 301
Norman, OK 73071
Phone (405) 360-2777
1125 N Porter Ave
Ste 304
Norman, OK 73071
Phone (405) 360-2753
1515 N Porter Ave
Norman, OK 73071
Phone (405) 366-8619
3101 W Tecumseh Rd
Ste 100
Norman, OK 73072
Phone (405) 364-5900
3101 W Tecumseh Rd
Ste 101
Norman, OK 73072
Phone (405) 360-2777
3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102
3400 W Tecumseh Rd
Ste 301
Norman, OK 73072
Phone (405) 801-4200
901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1134408701
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Norman, OK
- NPI 1881652667
-
- Surgery Physician
- Norman, OK
- NPI 1548513773
-
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1114958147
-
dba Integris Grove General Hospital Anesthesia Department
- Anesthesiology Physician
- Grove, OK
- NPI 1467692145
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
dba Harmon Memorial Hospital
- Critical Access Hospital
- Hollis, OK
- NPI 1295735991
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1093742157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 W GRAY ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697117",
"telephone_number": "405-364-6182",
"fax_number": "405-364-5379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 W GRAY ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730697117",
"telephone_number": "405-364-6182",
"fax_number": "405-364-5379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNEDY",
"first_name": "BRUCE",
"middle_name": "E",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "52074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.