Organization Active NPI

Bruce E. Kennedy, Crna, PC

  • Certified Registered Nurse Anesthetist
  • Norman, OK
National Provider Identifier
1114958147
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0052074 Issued in OK
Legal business name
BRUCE E. KENNEDY, CRNA, PC
Practice address
415 W Gray St
Norman, OK 73069-7117
Phone
(405) 364-6182
Fax
(405) 364-5379
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Bruce E Kennedy, CRNA
Title
President
Phone
(405) 364-6182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R0052074 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1114958147",
    "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": {
        "organization_name": "BRUCE E. KENNEDY, CRNA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-364-6182",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0052074",
            "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 Dec 17, 2007; 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.