Individual provider Active NPI

Breanna Jacobitz, DO

  • Emergency Medicine Physician
  • Norman, OK
National Provider Identifier
1083339956
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9166 Issued in OK
Practice address
3300 Healthplex Pkwy
Norman, OK 73072-9749
Phone
(405) 307-1000
NPI assigned
Oct 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9166 OK Primary

Addresses

Primary practice location

3300 Healthplex Pkwy
Norman, OK 73072-9749

Mailing address

PO Box 1308
Norman, OK 73070-1308
Phone (405) 307-1090

Other practice location 1

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

Other practice location 2

3701 E Main St
Weatherford, OK 73096-3309
Phone (580) 772-5551

Other practice location 3

2401 W Wrangler Blvd
Seminole, OK 74868-1917
Phone (432) 758-5811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250807002919 OK Practitioner - Emergency Medicine 0941708176 Reassigns benefits to 3 organizations
I20251010000135 TX Practitioner - Emergency Medicine 0941708176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of Mid-America PC 86 clinicians
Creek Nation Hospital and Clinics 364 clinicians

Practice addresses (Care Compare)

1500 N Green Ave
Purcell, OK 73080-1642
Phone (405) 527-6524

1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424

Hospital & facility affiliations

  • Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333
  • Purcell Municipal Hospital Hospital, Purcell, OK, CCN 370158

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9166OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Sep 19, 2025 Accepting new patients
Creek Nation Hospital & Clinics Current Accepting new patients
Norman Regional Hospital Authority CurrentSince Dec 9, 2025 Accepting new patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Norman Regional Hospital Authority Emergency Medicine CurrentSince Dec 9, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 19, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 19, 2025 Accepting new patients

Locations

700 S Telephone Rd
Moore, OK 73160
Phone (405) 793-9355

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

1500 N Green Ave
Purcell, OK 73080
Phone (405) 527-2250

2401 W Wrangler Blvd
Seminole, OK 74868
Phone (405) 303-4000

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Dept 1467
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

3701 E Main St
Weatherford, OK 73096
Phone (580) 772-5551

Interoperability endpoints

  • Direct secure messaging: bjacobitz556862@direct-ehr-ssmhc.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1083339956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701308",
            "telephone_number": "405-307-1090",
            "fax_number": "405-307-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 HEALTHPLEX PKWY",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729749",
            "telephone_number": "405-307-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N Green Ave",
            "address_purpose": "LOCATION",
            "city": "Purcell",
            "state": "OK",
            "postal_code": "730801642",
            "country_code": "US",
            "telephone_number": "405-527-6524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3701 E Main St",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "OK",
            "postal_code": "730963309",
            "country_code": "US",
            "telephone_number": "580-772-5551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 W Wrangler Blvd",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "OK",
            "postal_code": "748681917",
            "country_code": "US",
            "telephone_number": "432-758-5811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBITZ",
        "first_name": "BREANNA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-04",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "9166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.