Individual provider Active NPI

Zane Paul Brugenehmke, ATC

  • Durable Medical Equipment & Medical Supplies
  • Edmond, OK
National Provider Identifier
1346090552
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
PENDING Issued in OK
Practice address
2000 W Danforth Rd Ste 120
Edmond, OK 73003-4688
Phone
(402) 680-2746
NPI assigned
Mar 22, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 929 OK
Durable Medical Equipment & Medical Supplies 332B00000X PENDING OK Primary

Addresses

Primary practice location

2000 W Danforth Rd Ste 120
Edmond, OK 73003-4688

Mailing address

18213 Bodegon Rd
Edmond, OK 73012-5905
Phone (402) 680-2746

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

State licenses

LicenseStateTypeSpecialty
PENDINGOKMDDiagnostic Radiology Physician
929OKMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brugenhemke Medical LLC Durable Medical Equipment & Medical Supplies CurrentSince Apr 21, 2024 Accepting new patients

Locations

2000 W Danforth Rd
Ste 120
Edmond, OK 73003
Phone (402) 680-2746

Organizations & group practices 1

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": "1711065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1346090552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18213 BODEGON RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730125905",
            "telephone_number": "402-680-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W DANFORTH RD STE 120",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730034688",
            "telephone_number": "402-680-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUGENEHMKE",
        "first_name": "ZANE",
        "middle_name": "PAUL",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "929",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.