Individual provider Active NPI

Brian S Skrainka, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Jenks, OK
National Provider Identifier
1013954593
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
MED R3H73 Issued in MO
Practice address
11014 S Gum St
Jenks, OK 74037-9004
Phone
(678) 366-7933
NPI assigned
Jun 1, 2006
Reactivated
Jan 26, 2026
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X MED R3H73 MO Primary

Addresses

Primary practice location

11014 S Gum St
Jenks, OK 74037-9004

Mailing address

11014 S Gum St
Jenks, OK 74037-9004
Phone (678) 366-7933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MED R3H73MOMDPediatric Emergency Medicine (Pediatrics) Physician

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1013954593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 S GUM ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740379004",
            "telephone_number": "678-366-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11014 S GUM ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740379004",
            "telephone_number": "678-366-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKRAINKA",
        "first_name": "BRIAN S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "deactivation_date": "2025-12-10",
        "reactivation_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "MO",
            "license": "MED R3H73",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; 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.