Dena Marie Brunk, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4062 Issued in OK

Practice address

7877 S Sheridan Rd
Tulsa, OK 74133-3456

Phone

(918) 492-1618

Fax

(918) 492-1813

NPI assigned

Jun 13, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Physical Therapy 4 Me, PLLC

  • Physical Therapist
  • Tulsa, OK
  • NPI 1942922737
  Medicare reassignment NPD Authorized official
• Redbud Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Tulsa, OK
  • NPI 1710437306

  Physical Therapist

  Medicare reassignment NPD
• Redbud Physical Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Skiatook, OK
  • NPI 1730831868
  NPD

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1447254826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7877 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333456",
            "telephone_number": "918-492-1618",
            "fax_number": "918-496-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7877 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333456",
            "telephone_number": "918-492-1618",
            "fax_number": "918-492-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1621 S Eucalyptus Ave",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740125940",
            "country_code": "US",
            "telephone_number": "918-252-0513",
            "fax_number": "918-252-1496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNK",
        "first_name": "DENA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "4062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200119040A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS LEGACY/PROVIDER",
            "identifier": "731212096001",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "243729114",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LEGACY",
            "identifier": "200119040A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Brummund
• Haley Brundon
• Bonesha Bruner
• Keiyonna Fayelin Bruner
• Rickey D Bruner Jr.
• Kara Brunk, LCSW
• Auzjahnae Bruno
• Jenny Bruno
• Cristin M Bruns, MD
• Cynthia K Bruns, D.O.

• Physical Therapist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.