Active NPI
Craige M. Brestel, M.D. PLLC
- Obstetrics & Gynecology Physician
- Muskogee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19912
- Legal business name
- CRAIGE M. BRESTEL, M.D. PLLC
- Practice address
- 3502 West Broadway Street
Muskogee, OK 74401 - Phone
- (918) 687-5477
- Fax
- (918) 687-0684
- NPI assigned
- Jun 16, 2008
- Last updated
- Jul 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Craige Montane Brestel, MD
- Title
- Sole Member
- Phone
- (918) 687-5477
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19912 | OK | Primary |
Addresses
Primary practice location
3502 West Broadway Street
Muskogee, OK 74401
Mailing address
3502 West Broadway Street
Muskogee, OK 74401
Phone (918) 687-5477
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200317890B | Medicaid | OK | |
| 200317890A | Medicaid | OK |
Other names 1
- Muskogee Women's Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2021694 | Craige M Brestel, MD, PLLC | Certificate of waiver | Aug 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
2900 N Main St
Muskogee, OK 74401
Phone (918) 300-1320
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Muskogee, OK
- NPI 1497762280
-
- Physical Medicine & Rehabilitation Physician
- Muskogee, OK
- NPI 1386663532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752796800000",
"number": "1225298979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3502 WEST BROADWAY STREET",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74401",
"telephone_number": "918-687-5477",
"fax_number": "918-687-0684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3502 WEST BROADWAY STREET",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "74401",
"telephone_number": "918-687-5477",
"fax_number": "918-687-0684"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CRAIGE M. BRESTEL, M.D. PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-16",
"last_updated": "2025-07-18",
"status": "A",
"authorized_official_last_name": "BRESTEL",
"authorized_official_first_name": "CRAIGE",
"authorized_official_middle_name": "MONTANE",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "918-687-5477",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "19912",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200317890B",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200317890A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Muskogee Women's Clinic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.