Bruce W Dennis MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

18405 Issued in OK

Legal business name

BRUCE W DENNIS MD PLLC

Practice address

721 Better Now PLZ
Ada, OK 74820-2279

Phone

(580) 272-0025

Fax

(580) 272-6559

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Bruce W Dennis, MDNPI 1760450555

Title

Owner

Phone

(580) 272-0025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ada Adult Medicine Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce W Dennis, MD

  • Internal Medicine Physician
  • Ada, OK
  • NPI 1760450555
  Medicare reassignment Care Compare group NPD Authorized official
• Holly Katharyn Farrar, APRN-CNP

  • Family Nurse Practitioner
  • Ada, OK
  • NPI 1780209254
  Medicare reassignment Care Compare group NPD
• Joshua Hinkle, APRN - CNP

  • Family Nurse Practitioner
  • Ada, OK
  • NPI 1558167833
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1689723959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 ARLINGTON CTR",
            "address_2": "PMB 224",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202883",
            "telephone_number": "580-272-0025",
            "fax_number": "580-272-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BETTER NOW PLZ",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748202279",
            "telephone_number": "580-272-0025",
            "fax_number": "580-272-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE W DENNIS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-272-0025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200034380A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ada Adult Medicine Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Russell Andrew Brown
• Tammy Lynn Brown, BA
• Timothy Ryan Brown, DPT
• Browns Pharmacy and Gifts LLC
• Bruce a Hall DDS PC
• Kasey Lee Brundidge, PA-C
• Rebecca Bruner, MBA
• Dakota C Bryant
• Lauren Bubb, PA-C
• Mark E. Bucher, CRNA

• Internal Medicine Physician in Ada, OK
• Providers in Ada, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.