NPIMap

Organization Active NPI

Brookhaven Hospital, Inc.

  • Medical Specialty Clinic/Center
  • Tulsa, OK
National Provider Identifier
1003016221
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
2313 Issued in OK
Legal business name
BROOKHAVEN HOSPITAL, INC.
Practice address
201 S Garnett Rd
Tulsa, OK 74128-1805
Phone
(918) 438-4257
Fax
(918) 438-0083
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Rolf B Gainer, PH.D.
Title
Chief Executive Officer
Phone
(918) 438-4257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 2313 OK Primary

Addresses

Primary practice location

201 S Garnett Rd
Tulsa, OK 74128-1805

Mailing address

201 S Garnett Rd
Tulsa, OK 74128-1805
Phone (918) 438-4257

Other identifiers 1

IdentifierTypeStateIssuer
100701410DMedicaidOK

National Provider Directory

National Provider Directory
Tax ID family
Brookhaven Hospital Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1003016221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281805",
            "telephone_number": "918-438-4257",
            "fax_number": "918-438-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741281805",
            "telephone_number": "918-438-4257",
            "fax_number": "918-438-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKHAVEN HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "GAINER",
        "authorized_official_first_name": "ROLF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-438-4257",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OK",
            "license": "2313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100701410D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.