Individual provider Active NPI

Brant Quinn Bennett, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1841519360
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29449 Issued in OK
Practice address
8324 S Walker Ave
Oklahoma City, OK 73139-9450
Phone
(405) 930-5658
Fax
(405) 353-7176
NPI assigned
May 24, 2010
Last updated
Sep 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29449 OK Primary
General Practice Physician 208D00000X 29449 OK

Addresses

Primary practice location

8324 S Walker Ave
Oklahoma City, OK 73139-9450

Mailing address

8324 S Walker Ave
Oklahoma City, OK 73139-9450
Phone (405) 930-5658

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20121207000099 OK Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 5193977650 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
University of Oklahoma College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allied Wound Care Specialist PLLCGroup PAC ID 5698195360, 11 clinicians
Allied Woundcare Center LLCGroup PAC ID 6406296300, 6 clinicians

Practice addresses (Care Compare)

4220 N Classen Blvd
Suite C
Oklahoma City, OK 73118-2416
Phone (405) 900-4995

8324 S Walker Ave
Oklahoma City, OK 73139-9450
Phone (405) 473-6866

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue685
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29449OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Oct 7, 2012 Accepting new patients
Allied Wound Care Specialist PLLC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
Vohra Wound Physicians of FL, LLC Family Medicine CurrentSince Oct 7, 2012 Accepting new patients
Allied Woundcare Center LLC CurrentSince Apr 14, 2024 Accepting new patients
Brant Bennett, MD PLLC Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Wynter Kipgen MD PLLC Past Accepting new patients
Norman Regional Hospital Authority Past Accepting new patients

Locations

3601 SW 160th Ave
Ste 250
Miramar, FL 33027
Phone (305) 866-9951

3500 Healthplex Pkwy
Ste 102
Norman, OK 73072
Phone (405) 307-6918

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

8324 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 473-6866

10912 E 14th St
Tulsa, OK 74128
Phone (918) 438-2440

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1841519360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399450",
            "telephone_number": "405-930-5658",
            "fax_number": "405-353-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 S WALKER AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399450",
            "telephone_number": "405-930-5658",
            "fax_number": "405-353-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "BRANT",
        "middle_name": "QUINN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "29449",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "29449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.