Brian Eugene Cookson, ARNP FNPC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R0068390 Issued in OK

Practice address

26251 Hwy 82 Suite 1
Park Hill, OK 74441

Phone

(918) 207-0667

Fax

(918) 207-0683

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Brayderik Consulting 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Brayderik Consulting

  • Primary Podiatric Medicine Podiatrist
  • Tahlequah, OK
  • NPI 1235677121

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• Lyndon Family Health Care Clinic

  • Health Service Clinic/Center
  • Topeka, KS
  • NPI 1114041035

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northeastern Health System

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1356532022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 WHEELER ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744646338",
            "telephone_number": "918-207-0667",
            "fax_number": "918-207-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26251 HWY 82 SUITE 1",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "74441",
            "telephone_number": "918-207-0667",
            "fax_number": "918-207-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSON",
        "first_name": "BRIAN",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "ARNP FNPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "R0068390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl D Beaman, BHRS
• Marion Dean Bloss, DPH
• Blue Lotus Counseling, PLLC
• Elaine Laverne Clinton, D.C.
• James S. Colbert Jr.
• Lynn Cyert, OD
• Kelly Lynn Davis
• Minnie Louise Farris
• Amber Ann Forrest
• Matthew G Grissom

• All providers in Park Hill, OK
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.