Organization · NPI-2
Barenberg MD Holdings PLLC
Obstetrics & Gynecology, Gynecology · Oklahoma City, OK
NPI number1619852308
StatusActive
Last updated in NPPESMar 11, 2026
Details
- NPI
- 1619852308
- Entity type
- Organization (NPI-2)
- Legal business name
- Barenberg MD Holdings PLLC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2025
- Certification date
- Mar 11, 2026
- Last updated
- Mar 11, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | – | – | Yes |
| 207VF0040X | Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery | – | – |
Other names
- Prime Wellness (Doing Business As)
Practice location
12344 Market DrOklahoma City, OK 73114-8136
Phone 405-259-5253 · Fax 405-266-0638
Mailing address
301 W Britton Rd # 13096Oklahoma City, OK 73113-4757
Phone 405-259-5253 · Fax 405-266-0638
Authorized official
Benjamin Joseph Barenberg
Owner
4052595253
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