Brian G Herren

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

620 W Grand Ave
Ponca City, OK 74601-5123

Phone

(580) 762-1462

Fax

(581) 765-7299

NPI assigned

Mar 11, 2025

Last updated

Mar 11, 2025By the provider in NPPES

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgeway

  • Case Manager/Care Coordinator
  • Ponca City, OK
  • NPI 1770921512
  NPD (past)
• Bridgeway, Inc.

  • Substance Abuse Rehabilitation Facility
  • Ponca City, OK
  • NPI 1093930497
  NPD (past)

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1619776788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015123",
            "telephone_number": "580-762-1462",
            "fax_number": "581-765-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W GRAND AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746015123",
            "telephone_number": "580-762-1462",
            "fax_number": "581-765-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "BRIAN",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Marie Helm, COTA/L
• Tara Hembree
• Tim Henslee, COTA
• Melissa Sue Herman, COTA/L
• Tracy Hernandez Homan
• Jenni Dawn Hess, MSP MBA
• Ashley Hesson, APRN-CNP
• Melodie Rae Heupel Carney, LPC
• Jim D Highfill, DDS
• Bailee Elaina Hill

• Case Manager/Care Coordinator in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Case Manager/Care Coordinator in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.