# BRANT BENNETT, MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790343085
- **Authorized official:** DR. BRANT QUINN BENNETT MD (PHYSICIAN)
- **Authorized official phone:** (405) 924-0050

## Contact information

- **Practice address:** 3500 HEALTHPLEX PKWY \# 102, NORMAN, OK 73072-9738
- **Practice address phone:** (405) 307-6955
- **Mailing address:** 305 SUMMIT CREST LN, NORMAN, OK 73071-4083
- **Mailing address phone:** (405) 924-0050
- **Mailing address fax:** (405) 293-4365

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/31/2019
- **Last updated:** 05/31/2019