Active NPI
Brooke Sarah Mueller, MD
- Pediatrics Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 39860
- Practice address
- 5208 W Reno Ave
Oklahoma City, OK 73127-0000 - Phone
- (405) 948-4900
- Fax
- (405) 948-4933
- NPI assigned
- Mar 20, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 39860 | OK | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
5208 W Reno Ave
Oklahoma City, OK 73127-0000
Mailing address
4913 W Reno Ave
Oklahoma City, OK 73127-6339
Phone (405) 948-4900
Other practice location 1
1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 295-1500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| El Reno Indian Health Center | Current | Accepting new patients | |
| Clinton Indian Health Center | Current | Accepting new patients | |
| Central Oklahoma American Indian Health Council, Inc. | Current | Accepting new patients | |
| Watonga Indian Health Center | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300
1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600
5208 W Reno Ave
Oklahoma City, OK 73127
Phone (405) 948-4900
4913 W Reno Ave
Oklahoma City, OK 73127
Phone (405) 948-4900
309 S Ann Arbor Ave
Oklahoma City, OK 73128
Phone (405) 948-4900
1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- Oklahoma City, OK
- NPI 1407969728
TX
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1124588827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4913 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731276339",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5208 W RENO AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731270000",
"telephone_number": "405-948-4900",
"fax_number": "405-948-4933"
}
],
"practiceLocations": [
{
"address_1": "1801 Parkview Dr",
"address_purpose": "LOCATION",
"city": "El Reno",
"state": "OK",
"postal_code": "730362103",
"country_code": "US",
"telephone_number": "405-295-1500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUELLER",
"first_name": "BROOKE",
"middle_name": "SARAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-20",
"last_updated": "2024-01-01",
"certification_date": "2024-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "39860",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 Jan 1, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.