Brooke Ryan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

Tinker MDG
7050 S Air Depot Blvd Suite 1094
Tinker Afb, OK 73145

Phone

(405) 582-6099

NPI assigned

Sep 3, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1316315666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TINKER MDG",
            "address_2": "7050 S AIR DEPOT BLVD SUITE 1094",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "73145",
            "telephone_number": "405-582-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TINKER MDG",
            "address_2": "7050 S AIR DEPOT BLVD SUITE 1094",
            "city": "TINKER AFB",
            "state": "OK",
            "postal_code": "73145",
            "telephone_number": "405-582-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca G Prim, P.A.
• Rebecca Noel Rhoads, PHARM.D
• Cheila Taina Rodriguez, IDMT
• Nathaniel Rosol, MD
• Janis Kim Ross, RN
• Axelandra Tamar Sang
• Angela Marie Schetter, APRN
• Olga Beatriz Simons, MSW
• Christopher Smith
• Jamie L Smith, DDS

• Physician Assistant in Tinker Afb, OK
• Providers in Tinker Afb, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.