Austin Tanner Brookover, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6370 Issued in OK

Practice address

1400 E Downing St
Tahlequah, OK 74464-3324

Phone

(918) 456-0641

NPI assigned

Jun 22, 2017

Last updated

Jun 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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 1

Specialty

Emergency Medicine

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Hospital Care Consultants IncGroup PAC ID 9032131735, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hillcrest Hospital Cushing Hospital, Cushing, OK, CCN 370099
• Sequoyah County-City of Sallisaw Hospital Authorit Hospital, Sallisaw, OK, CCN 370112

Merit-based Incentive Payment System (MIPS)

Final score

95.83 of 100Reported as group

Quality

81.24

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abrookover835432@ahs.direct-ci.com

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

• Green Country Emergency Physicians Group of Tulsa PLLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972698553
  Medicare reassignment Care Compare group NPD
• Hospital Care Consultants, Inc

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1912945635
  Medicare reassignment Care Compare group NPD
• Arbuckle Memorial Hospital

  dba Arbuckle Family Clinic

  • Rural Health Clinic/Center
  • Sulphur, OK
  • NPI 1730541673
  Medicare reassignment NPD
• Emergency Services of Oklahoma PC

  • Emergency Medicine Physician
  • Norman, OK
  • NPI 1215249891
  Medicare reassignment NPD
• Nes Oklahoma, Inc.

  • Emergency Medicine Physician
  • Ponca City, OK
  • NPI 1528040722
  Medicare reassignment NPD
• South Central Emergency Services PC

  • Emergency Medicine Physician
  • Stillwater, OK
  • NPI 1558663724
  Medicare reassignment NPD
• Arbuckle Memorial Hospital

  • Critical Access Hospital
  • Sulphur, OK
  • NPI 1700869492
  NPD
• Arbuckle Memorial Hospital

  dba Arbuckle Family Clinic at Davis

  • Rural Health Clinic/Center
  • Davis, OK
  • NPI 1821972076
  NPD
• Ahs Cushing Hospital LLC

  dba Cushing Regional Hospital

  • General Acute Care Hospital
  • Cushing, OK
  • NPI 1801867643
  NPD (past)
• Sequoyah County City of Sallisaw Hospital Authority

  dba Sequoyah Memorial Hospital

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  NPD (past)

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

• Ahs Cushing Hospital LLC

  dba Cushing Regional Hospital

  • General Acute Care Hospital
  • Cushing, OK
  • NPI 1801867643
  Care Compare affiliation
• Sequoyah County City of Sallisaw Hospital Authority

  dba Sequoyah Memorial Hospital

  • Rural Acute Care Hospital
  • Sallisaw, OK
  • NPI 1972539567
  Care Compare affiliation

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1114447984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5657 S MADISON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741057712",
            "telephone_number": "918-706-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKOVER",
        "first_name": "AUSTIN",
        "middle_name": "TANNER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "6370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Ray Brixey, JD, MS
• Kristi Broadhead
• Kayce Brock
• Broken Arrow Pain Specialist, LLC (Oklahoma Pain Specialist)
• Broken Arrow Pain Specialist, LLC (Oklahoma Pain Specialists)
• Debbie Marie Brooks
• Brookshire Grocery Company (Reasors Pharmacy)
• Raya Katherine Brotherton
• Amy Brown
• Blair Elizabeth Brown, DO

• Emergency Medicine Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Emergency Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.