Active NPI
Brandi Gynn Harden, APRN-CNP
- Family Nurse Practitioner
- Wewoka, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 91059
- Practice address
- 36640 Hwy 270 & Barking Water Rd
Wewoka, OK 74884 - Phone
- (405) 257-6282
- Fax
- (405) 257-3344
- NPI assigned
- Sep 6, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 91059 | OK | |
| Family Nurse Practitioner | 363LF0000X | 91059 | OK | Primary |
Addresses
Primary practice location
36640 Hwy 270 & Barking Water Rd
Wewoka, OK 74884
Mailing address
4785 County Road 1520
Ada, OK 74820
Phone (580) 421-7281
Other practice location 1
1023 Arlington St
Ada, OK 74820-4042
Phone (580) 436-4400
Other practice location 2
721 Better Now Plz
Ada, OK 74820-2279
Phone (580) 272-0025
Other practice location 3
721 Better Now PLZ
Ada, OK 74820-2279
Phone (580) 272-0025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578010716 | Medicaid | OK |
Other names 1
- Brandi Gynn Bolin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Williams Medical Group Practice, LLC
Practice addresses (Care Compare)
1817 Arlington St
Ada, OK 74820-2814
Phone (580) 279-0985
220 S Van Buren St
Xpress Wellness Urgent Care
Enid, OK 73703-5812
Phone (580) 234-9355
2525 Chandler Rd
Muskogee, OK 74403-5088
Phone (918) 681-7533
340 S George Nigh Expy
Xpress Wellness Urgent Care
McAlester, OK 74501-6075
Phone (918) 420-9854
36640 Hwy 270
Wewoka, OK 74884
36640 Hwy 270
Wewoka, OK 74884-4021
Phone (405) 257-6282
4296 N Harrison St
Xpress Wellness Urgent Care
Shawnee, OK 74804-1413
Phone (405) 788-4102
709 Better Now PLZ
Ada, OK 74820-2279
Phone (580) 310-9899
901 W Main St
Xpress Wellness Urgent Care
Durant, OK 74701-5070
Phone (580) 634-2931
PO Box
Suite 1475
Wewoka, OK 74884
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 91059 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Wewoka Indian Health | Current | Accepting new patients | |
| Williams Medical Group Practice, LLC | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
1817 Arlington St
Ada, OK 74820
Phone (580) 279-0985
220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355
777 NW 63rd St
Fl 2
Oklahoma City, OK 73116
36640 Highway 270
Wewoka, OK 74884
Phone (405) 257-6282
36640 Highway 270
#C
Wewoka, OK 74884
Phone (405) 257-6282
Organizations & group practices 5
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.
-
- Family Nurse Practitioner
- Ada, OK
- NPI 1891222030
-
- Family Medicine Physician
- Lawton, OK
- NPI 1346608809
-
- Rural Health Clinic/Center
- Collinsville, OK
- NPI 1215751508
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Federal Public Health Clinic/Center
- Anadarko, OK
- NPI 1881637403
Hospital
-
- Federal Public Health Clinic/Center
- Carnegie, OK
- NPI 1457459158
Hospital
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- Federal Public Health Clinic/Center
- Clinton, OK
- NPI 1205923448
Hospital
-
- Critical Access Hospital
- Holdenville, OK
- NPI 1265851455
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1760489223
-
- General Acute Care Hospital
- Shawnee, OK
- NPI 1134123193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1578010716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4785 COUNTY ROAD 1520",
"city": "ADA",
"state": "OK",
"postal_code": "74820",
"telephone_number": "580-421-7281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36640 HWY 270 & BARKING WATER RD",
"city": "WEWOKA",
"state": "OK",
"postal_code": "74884",
"telephone_number": "405-257-6282",
"fax_number": "405-257-3344"
}
],
"practiceLocations": [
{
"address_1": "1023 Arlington St",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "OK",
"postal_code": "748204042",
"country_code": "US",
"telephone_number": "580-436-4400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "721 Better Now Plz",
"address_purpose": "LOCATION",
"city": "Ada",
"state": "OK",
"postal_code": "748202279",
"country_code": "US",
"telephone_number": "580-272-0025",
"fax_number": "580-272-6559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "721 BETTER NOW PLZ",
"address_purpose": "LOCATION",
"city": "ADA",
"state": "OK",
"postal_code": "748202279",
"country_code": "US",
"telephone_number": "580-272-0025",
"fax_number": "580-272-6659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDEN",
"first_name": "BRANDI",
"middle_name": "GYNN",
"name_prefix": "Ms.",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-06",
"last_updated": "2023-01-05",
"certification_date": "2023-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OK",
"license": "91059",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "91059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578010716",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRANDI",
"last_name": "BOLIN",
"middle_name": "GYNN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wewoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.