Active NPI
Jennifer Brooke Stewart, M.D.
- Pediatrics Physician
- Midwest City, OK
National Provider Identifier
1396060448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 29782
- Practice address
- 901 S Air Depot Blvd
Midwest City, OK 73110-4836 - Phone
- (405) 757-7818
- Fax
- (405) 703-0645
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 29782 | OK | Primary |
Addresses
Primary practice location
901 S Air Depot Blvd
Midwest City, OK 73110-4836
Mailing address
901 S Air Depot Blvd
Midwest City, OK 73110-4836
Phone (405) 757-7818
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200502840 | Other | OK | MEDICAID PROVIDER ID |
Other names 1
- Dr. Jennifer Brooke Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29782 | OK | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Center | Past | Accepting new patients | |
| Aky MD, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.973232
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1396060448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S AIR DEPOT BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104836",
"telephone_number": "405-757-7818",
"fax_number": "405-703-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S AIR DEPOT BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104836",
"telephone_number": "405-757-7818",
"fax_number": "405-703-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2026-04-20",
"certification_date": "2026-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "29782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PROVIDER ID",
"identifier": "200502840",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "WILLIAMS",
"middle_name": "BROOKE",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.