Individual provider Active NPI

Brian W. Cook, D.O.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Enid, OK
National Provider Identifier
1275638835
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
3253 Issued in OK
Practice address
600 S Monroe St
Enid, OK 73701-7211
Phone
(580) 233-2300
Fax
(580) 548-1489
NPI assigned
Sep 14, 2006
Last updated
Feb 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 3253 OK Primary

Addresses

Primary practice location

600 S Monroe St
Enid, OK 73701-7211

Mailing address

717 Ellsworth Ave
Yukon, OK 73099-5965
Phone (405) 265-2327

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070423000238 OK Practitioner - Emergency Medicine 7416052329 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oklahoma State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alva Hospital AuthorityGroup PAC ID 5597755306, 14 clinicians

Practice addresses (Care Compare)

800 Share Dr
Alva, OK 73717-3618
Phone (580) 430-3366

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3253OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alva Hospital Authority/Dba Share Medical Center CurrentSince Jul 11, 2022 Accepting new patients
Integris Bass Baptist Health Center Current Accepting new patients
Alva Hospital Authority CurrentSince Jul 11, 2022 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Aug 24, 2019 Accepting new patients
Rokem, LLC CurrentSince Jul 16, 2023 Accepting new patients
Emergency Physicians of Midwest City, LLC CurrentSince Nov 5, 2020 Accepting new patients
Alva Hospital Authority Current Accepting new patients
Integris Ambulatory Care Corporation CurrentSince May 1, 2016 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Land Run Emergency Physicians Past Accepting new patients
Lightstar Emergency Physicians, PLLC Past Accepting new patients

Locations

800 Share Dr
Alva, OK 73717
Phone (580) 327-2800

800 Share Dr
Ste 100
Alva, OK 73717
Phone (580) 430-3366

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

700 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-3667

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

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

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1275638835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ELLSWORTH AVE",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995965",
            "telephone_number": "405-265-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017211",
            "telephone_number": "580-233-2300",
            "fax_number": "580-548-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BRIAN",
        "middle_name": "W.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "OK",
            "license": "3253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.