Brooks B Zimmerman, DO
Individual provider Active NPI Family Medicine Physician · Ardmore, OK
NPI 1306845367 · NPPES record last updated May 9, 2017
Key facts
- NPI
- 1306845367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 3800 (OK)
- Practice address
- 1020 N Commerce St
Ardmore, OK 73401-3920 - Phone
- (580) 223-5311
- Fax
- (580) 223-2397
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic Oklahoma Communities
Mercy Hospital Healdton Inc
Practice addresses (Care Compare)
1020 N Commerce St
Mercy Clinic Primary Care Commerce
Ardmore, OK 73401-3920
Phone (580) 223-5311
3462 Hospital Rd
Healdton, OK 73438-6124
Phone (580) 229-0701
3472 Hospital Rd
Healdton, OK 73438-6124
Phone (580) 229-0079
Hospital & facility affiliations
- Ideal Home Care, L.P.
- Mays Housecall Home Health of Durant
- Mays Housecall Home Health of Ada, LLC
- Elara Caring Xxiii
- Good Shepherd Hospice of Ardmore, LLC
- Mercy Hospital Ardmore, Inc
- Mercy Hospital Healdton, Inc.
- Alliancehealth Madill
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100111000824 | OK | Practitioner - Family Practice | 1153366950 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Healdton, Inc. | Current |
Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Family Medicine | Current |
Accepting new patients |
| Mercy Hospital Healdton, Inc | Current |
Accepting new patients | |
| Marshall County Hma, LLC | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients | |
| Marshall County HMPN, LLC | Family Medicine | Past | Accepting new patients |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Marshall County Hma LLC | Family Medicine | Past | Accepting new patients |
| Mercy Hospital Healdton, Inc. | Past | Accepting new patients |
Locations
1020 N Commerce St
Ardmore, OK 73401
Phone (580) 223-5311
3472 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0079
3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- bzimmerman220502@directc.mercy.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3800 | OK | Yes |
Addresses
Primary practice location
1020 N Commerce St
Ardmore, OK 73401-3920
Mailing address
1020 N Commerce St
Ardmore, OK 73401-3920
Phone (580) 223-5311
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091450A | Medicaid | OK |
Other providers in Ardmore, OK
- Lauren Rene Yount
- Izabel Ivana Zaccardi
- Karla Zelaya-Mendoza
- Wei Zhang
- Daniel Nelson Zigo
- Rita Ann Zimmerman
- Zoom Diagnostic Imaging Ardmore LLC
- Zoom Diagnostic Imaging Durant LLC
All providers in Ardmore, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.