Organization Active NPI

William Bendure MD, PLLC

  • Neurology Physician
  • Oklahoma City, OK
National Provider Identifier
1932582624
Registry record updated Jul 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
28652 Issued in OK
Legal business name
WILLIAM BENDURE MD, PLLC
Practice address
4221 S Western Ave
Suite 5000
Oklahoma City, OK 73109-3447
Phone
(405) 644-5160
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2015

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

Authorized official

Name
Dr. William Blaine Bendure, MDNPI 1740574987
Title
Manager/Neurologist
Phone
(405) 816-6483

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 28652 OK Primary

Addresses

Primary practice location

4221 S Western Ave
Suite 5000
Oklahoma City, OK 73109-3447

Mailing address

143 Wright Cir
Edmond, OK 73013-1301
Phone (405) 816-6483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150917000551 OK Part B Supplier - Clinic/Group Practice 6608183082 Receives reassigned benefits from 1 practitioner
Practice locations: Duncan, OK; Oklahoma City, OK

National Provider Directory

National Provider Directory
Tax ID family
William Bendure2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 N 10TH
Duncan, OK 73533
Phone (405) 644-5160

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438128000000",
    "number": "1932582624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 WRIGHT CIR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131301",
            "telephone_number": "405-816-6483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 S WESTERN AVE",
            "address_2": "SUITE 5000",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731093447",
            "telephone_number": "405-644-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM BENDURE MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-07-29",
        "status": "A",
        "authorized_official_last_name": "BENDURE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "MANAGER/NEUROLOGIST",
        "authorized_official_telephone_number": "405-816-6483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "28652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; 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.