Individual provider Active NPI

Bruce E Kennedy, CRNA

  • Certified Registered Nurse Anesthetist
  • Norman, OK
National Provider Identifier
1093742157
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
52074 Issued in OK
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040216001185 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 1254226616 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
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

LicenseStateTypeSpecialty
52074OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Nga Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2012 Accepting new patients
Norman Regional Providers Specialty Care CurrentSince Sep 1, 2019 Accepting new patients
Norman Anesthesia Providers, P.C. CurrentSince Apr 21, 2021 Accepting new patients
Jackson County Memorial Hospital Authority PastSince Dec 31, 2008 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.

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.

Verify at the official NPI Registry.