Brandon Scott Funk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1465 Issued in OK

Practice address

2017 W I 35 Frontage Rd Ste 250
Edmond, OK 73013-8561

Phone

(405) 757-3340

Fax

(405) 757-3520

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Resource Management LLCGroup PAC ID 4082753918, 53 clinicians

Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• Mercy Hospital Logan County Hospital, Guthrie, OK, CCN 371317

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medical Resource Management, LLC

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment Care Compare group
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550
  Medicare reassignment Care Compare group
• Neurosurgical Services PLLC

  • Specialist
  • Edmond, OK
  • NPI 1477674711
  Medicare reassignment NPD
• Mpower Clinical TX

  • Clinical Neurophysiology Physician
  • San Antonio, TX
  • NPI 1134737216

  OK

  Medicare reassignment
• Mercy Health Network Inc

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1427097435
  NPD (past)
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  NPD (past)
• Mercy Hospital Oklahoma City, Inc

  • Diagnostic Radiology Physician
  • Yukon, OK
  • NPI 1730326406
  NPD (past)
• Norman Regional Providers Primary Care

  • Family Medicine Physician
  • Norman, OK
  • NPI 1548398274
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Surgical Specialists of Oklahoma PLLC

  • Surgery Physician
  • Midwest City, OK
  • NPI 1871542639
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Logan County Inc

  • Critical Access Hospital
  • Guthrie, OK
  • NPI 1306126818
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1396785390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 250",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138561",
            "telephone_number": "405-757-3340",
            "fax_number": "405-757-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 W I 35 FRONTAGE RD STE 250",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138561",
            "telephone_number": "405-757-3340",
            "fax_number": "405-757-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "BRANDON",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA17988",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200201770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer J Fulmer, APRN
• Function First Therapy Inc
• Function Physical Therapy, LLC
• Function Physical Therapy, LLC
• Fundamental Physical Therapy PLLC
• Angela Rae Funkhouser, COTA/L
• Victoria Funner
• Amanda Faye Furry, D.C.
• Kimberly Fuxa, APRN
• Fyc Enterprise PC

• Physician Assistant in Edmond, OK
• Providers in Edmond, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.