Rachel Bruner
Individual provider Active NPI Private Vehicle · Bristow, OK
NPI 1730385378 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1730385378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 27901 W Hwy 16
Bristow, OK 74010 - Phone
- (918) 367-6026
- NPI assigned
- Jun 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200079940C | OK | MD | Intellectual and/or Developmental Disabilities Residential Treatment Facility |
| 200079940B | OK | MD | Private Vehicle |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | OK | ||
| Private Vehicle | 347C00000X | OK | Yes |
Addresses
Primary practice location
27901 W Hwy 16
Bristow, OK 74010
Mailing address
27901 W Hwy 16
Bristow, OK 74010
Phone (918) 367-6026
Other providers in Bristow, OK
- Bristow Healthcare Properties, LLC
- Bristow Healthcare Properties, LLC
- Bristow Medical Center Operating Company
- Bristow Medical Center Operating Company
- Bristow Public Schools
- Jennifer Burgett
- Zeddie L Cantrell Jr.
- Carrus Care Physicians Group Inc.
- Carrus Lakeside Hospital LLC
- Carrus Lakeside Hospital LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.