Active NPI
Shelby Brenan Tate, M.D.
- Neonatal-Perinatal Medicine Physician
- Tulsa, OK
National Provider Identifier
1235523465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 45068
- Practice address
- 6151 S Yale Ave # Levelb
Tulsa, OK 74136-1907 - Phone
- (918) 502-6097
- NPI assigned
- Mar 25, 2015
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0065713 | CO | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 0065713 | CO | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 45068 | OK | Primary |
Addresses
Primary practice location
6151 S Yale Ave # Levelb
Tulsa, OK 74136-1907
Mailing address
1400 E Boulder St # 3593
Colorado Springs, CO 80909-5533
Other practice location 1
1400 E Boulder St # 3593
Colorado Springs, CO 80909-5533
Phone (214) 456-5518
Other practice location 2
300 Rockefeller Dr
Muskogee, OK 74401-5075
Phone (918) 502-6097
Other practice location 3
10501 E 91st St
Tulsa, OK 74133-5790
Phone (918) 502-6097
Other names 1
- Shelby Brooke Brenan
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0065713 | CO | MD | Pediatrics Physician |
| 45068 | OK | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uch-MHS | Past | Accepting new patients | |
| Warren Clinic Inc | Past | Accepting new patients | |
| Parkview Medical Center, Inc. | Past | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients | |
| Children'S Hospital Colorado | Past | Accepting new patients |
Interoperability endpoints
- state360828@direct.saintfrancis.com
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.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
-
- General Practice Physician
- Tulsa, OK
- NPI 1174582282
-
- Children's Hospital
- Colorado Springs, CO
- NPI 1336637438
-
- General Acute Care Hospital
- Pueblo, CO
- NPI 1104881507
-
- General Acute Care Hospital
- Colorado Springs, CO
- NPI 1144397134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1235523465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E BOULDER ST # 3593",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809095533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6151 S YALE AVE # LEVELB",
"city": "TULSA",
"state": "OK",
"postal_code": "741361907",
"telephone_number": "918-502-6097"
}
],
"practiceLocations": [
{
"address_1": "1400 E Boulder St # 3593",
"address_purpose": "LOCATION",
"city": "Colorado Springs",
"state": "CO",
"postal_code": "809095533",
"country_code": "US",
"telephone_number": "214-456-5518",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Rockefeller Dr",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744015075",
"country_code": "US",
"telephone_number": "918-502-6097",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10501 E 91st St",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741335790",
"country_code": "US",
"telephone_number": "918-502-6097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TATE",
"first_name": "SHELBY",
"middle_name": "BRENAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-25",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "0065713",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CO",
"license": "0065713",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "OK",
"license": "45068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "BRENAN",
"middle_name": "BROOKE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.