Brenda R. Stutzman, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3099 Issued in OK

Practice address

579 N Broadway Ave
Hydro, OK 73048-8425

Phone

(405) 663-2291

Fax

(405) 663-2191

NPI assigned

Jun 13, 2005

Last updated

Apr 14, 2010By the provider in NPPES

Sex

Female

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Merit-based Incentive Payment System (MIPS)

Final score

25.85 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

86.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: whabstutzm@yourcarecommunity.org

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.

• Hydro Medical Clinic PLLC

  • Family Medicine Physician
  • Hydro, OK
  • NPI 1447404868
  Medicare reassignment NPD Authorized official
• Oklahoma West Physicians Group

  • Family Medicine Physician
  • Hydro, OK
  • NPI 1457531600
  Authorized official Same address or phone
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)
• Weatherford Hospital Authority

  dba Weatherford Regional Hospital

  • Critical Access Hospital
  • Weatherford, OK
  • NPI 1639175185
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1700880127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 N BROADWAY AVE",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730488425",
            "telephone_number": "405-663-2291",
            "fax_number": "405-663-2191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 N BROADWAY AVE",
            "city": "HYDRO",
            "state": "OK",
            "postal_code": "730488425",
            "telephone_number": "405-663-2291",
            "fax_number": "405-663-2191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUTZMAN",
        "first_name": "BRENDA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oklahoma West Physicians Group
• Pharmcareok of Hydro Inc
• Pharmcareok of Hydro, Inc.
• Kandy Price, M. S, CCC-SLP
• Lorenda Seay
• Weatherford Hospital Authority (WRH-Hydro Family Clinic)
• Western Health Management, Inc. (Maple Lawn Nursing and Rehabilitation)

• Family Medicine Physician in Hydro, OK
• Providers in Hydro, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.

Verify at the official NPI Registry.