Active NPI
Sabine E. Brown, PA
- Physician Assistant
- Oklahoma City, OK
National Provider Identifier
1063476455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1425
- Practice address
- 3300 N.W. Expressway
Oklahoma City, OK 73114-4481 - Phone
- (405) 951-2541
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1425 | OK | Primary |
Addresses
Primary practice location
3300 N.W. Expressway
Oklahoma City, OK 73114-4481
Mailing address
PO Box 108809
Oklahoma City, OK 73101-8809
Phone (405) 419-5539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200056580A | Medicaid | OK |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1425 | OK | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209600000000",
"number": "1063476455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108809",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731018809",
"telephone_number": "405-419-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 N.W. EXPRESSWAY",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731144481",
"telephone_number": "405-951-2541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SABINE",
"middle_name": "E.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2008-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "1425",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200056580A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.