Brian Pfenninger, MBA, RDCS, RDMS

Primary specialty

Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X

License

146528 Issued in OK

Practice address

2805 S Bryant Ave Ste B
Edmond, OK 73013-6158

Phone

(405) 330-2225

Fax

(405) 832-1172

NPI assigned

Apr 26, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1619465457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 NW 159TH ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730133220",
            "telephone_number": "405-330-2225",
            "fax_number": "405-832-1172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 S BRYANT AVE STE B",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136158",
            "telephone_number": "405-330-2225",
            "fax_number": "405-832-1172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFENNINGER",
        "first_name": "BRIAN",
        "credential": "MBA, RDCS, RDMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "OK",
            "license": "146528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Charles Peterson, PHARMD
• Maggie Petrosino, RN
• Brianna N Petty, COTA/L
• Karlee Jo Pfaff, PA-C
• Kallee Mae Pfeiffer, PHARMD, RPH
• Haley Pfundt, CCC-SLP
• Thao Nguyen Thi Phan, PHARM D.
• Rebecca Jane Phansalkar
• Pharmacy Providers of Oklahoma Inc
• Brian Steven Phelps, MD

• Diagnostic Ultrasound Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Diagnostic Ultrasound Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.