Active NPI
Brock Emil Schnebel, MD
- Orthopaedic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1285632521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 13815
- Practice address
- 9600 Broadway Ext
Oklahoma City, OK 73114-7408 - Phone
- (405) 230-9000
- Fax
- (405) 230-9157
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 13815 | OK | |
| Orthopaedic Surgery Physician | 207X00000X | 13815 | OK | Primary |
Addresses
Primary practice location
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Mailing address
9600 Broadway Ext
Oklahoma City, OK 73114-7408
Phone (405) 230-9000
Other practice location 1
1110 N Lee Ave
Oklahoma City, OK 73103-2612
Phone (405) 230-9000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100191690A | Medicaid | OK | |
| 200018006 | Other | OK | RAILROAD MEDICARE |
| 730714291020 | Other | OK | BCBS OF OKLAHOMA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13815 | OK | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McBride Clinic Orthopedic Hospital, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| McBride Clinic Inc | Orthopaedic Surgery | Past | Accepting new patients |
Locations
3700 36th Ave NW
Norman, OK 73072
Phone (405) 230-9600
1110 N Lee Ave
Oklahoma City, OK 73103
Phone (405) 232-0341
9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1659413649
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1053319889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1285632521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 BROADWAY EXT",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731147408",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9157"
}
],
"practiceLocations": [
{
"address_1": "1110 N Lee Ave",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731032612",
"country_code": "US",
"telephone_number": "405-230-9000",
"fax_number": "405-230-9421",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHNEBEL",
"first_name": "BROCK",
"middle_name": "EMIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "OK",
"license": "13815",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "13815",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100191690A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200018006",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF OKLAHOMA",
"identifier": "730714291020",
"state": "OK"
}
],
"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 Dec 22, 2017; 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.