BKD Bradford Village Opco LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BKD BRADFORD VILLAGE OPCO LLC

Practice address

906 N Boulevard
Edmond, OK 73034-3655

Phone

(405) 341-0810

NPI assigned

Aug 22, 2014

Organization subpart

No

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

Authorized official

Name

Mark Ohlendorf

Title

Cfo

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Bradford Village Doing business as

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1992104293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WASHINGTON ST",
            "address_2": "SUITE 2300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532145647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 N BOULEVARD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343655",
            "telephone_number": "405-341-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKD BRADFORD VILLAGE OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-22",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "OHLENDORF",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradford Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph F Binkley Sr., DC
• Bio-Medical Applications of Oklahoma, Inc.
• Susan Diane Bishop, MSTRS/CKT
• Lyndsy Michelle Bitzer, LPC
• Chelsea Bixler, NURSE PRACTITIONER
• Brylee Black
• Katherine Black
• Kayla Black
• Hollie Blackstock
• Kacee Erin Blackwell, PHARMD

• Skilled Nursing Facility in Edmond, OK
• Providers in Edmond, OK by specialty
• Skilled Nursing Facility in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.