Active NPI
Nathaniel Brandom
- Psychiatry Physician
- Norman, OK
National Provider Identifier
1477443729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0924R
- Practice address
- 900 E Main St, Norman, Ok 73071
Norman, OK 73071 - Phone
- (940) 597-5567
- NPI assigned
- Jul 8, 2025
- Last updated
- Oct 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 9665 | OK | |
| Psychiatry Physician | 2084P0800X | 0924R | OK | Primary |
Addresses
Primary practice location
900 E Main St, Norman, Ok 73071
Norman, OK 73071
Mailing address
3625 24TH Ave SE Apt 9
Norman, OK 73071-3106
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0924R | OK | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792540800000",
"number": "1477443729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 24TH AVE SE APT 9",
"city": "NORMAN",
"state": "OK",
"postal_code": "730713106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 E MAIN ST, NORMAN, OK 73071",
"city": "NORMAN",
"state": "OK",
"postal_code": "73071",
"telephone_number": "940-597-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDOM",
"first_name": "NATHANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-08",
"last_updated": "2026-10-21",
"certification_date": "2026-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OK",
"license": "9665",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "0924R",
"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 Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.