IndividualActive
Brian Pfenninger, MBA, RDCS, RDMS
NPI 1619465457 · Diagnostic Ultrasound Physician · Edmond, OK
Provider details
- NPI number
- 1619465457
- Entity type
- Individual
- Primary specialty
- Diagnostic Ultrasound PhysicianAllopathic & Osteopathic Physicians
- Credential
- MBA, RDCS, RDMS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 146528 (OK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2805 S Bryant Ave Ste B
Edmond, OK 73013-6158
Phone: (405) 330-2225
Fax: (405) 832-1172
Approximate (ZIP-level) locationGet directions
Mailing address
4808 Nw 159th St
Edmond, OK 73013-3220
Registry dates
- Enumerated
- 2018-04-26
- Last updated
- 2018-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.