Blair Elizabeth Brown, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

7674 Issued in OK

Practice address

1400 E Downing St
Tahlequah, OK 74464-3324

Phone

(918) 456-0641

NPI assigned

May 25, 2021

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinic Oklahoma CommunitiesGroup PAC ID 1153468921, 645 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
• Mercy Hospital Healdton, Inc. Hospital, Healdton, OK, CCN 371310
• Exceptional Community Hospital Ardmore Hospital, Ardmore, OK, CCN 370247
• Mercy Hospital Tishomingo Inc Hospital, Tishomingo, OK, CCN 371304
• Arbuckle Memorial Hospital Authority Hospital, Sulphur, OK, CCN 371328

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mercy Hospital Healdton, Inc

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1568615656
  Medicare reassignment NPD
• Mercy Hospital Tishomingo, Inc

  • Emergency Medicine Physician
  • Tishomingo, OK
  • NPI 1972809002
  Medicare reassignment NPD
• Mercy Hospital Healdton, Inc.

  • Rural Health Clinic/Center
  • Healdton, OK
  • NPI 1437467388
  NPD
• Mercy Hospital Tishomingo, Inc.

  dba Mercy Hospital Tishomingo Swing Bed

  • Medicare Defined Swing Bed Hospital Unit
  • Tishomingo, OK
  • NPI 1578868121
  NPD
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  NPD (past)

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

• Arbuckle Memorial Hospital

  • Critical Access Hospital
  • Sulphur, OK
  • NPI 1700869492
  Care Compare affiliation
• Ehc Ardmore LLC

  • Special Hospital
  • Ardmore, OK
  • NPI 1023754793
  Care Compare affiliation
• Mercy Hospital Ardmore, Inc.

  • General Acute Care Hospital
  • Ardmore, OK
  • NPI 1386741635
  Care Compare affiliation
• Mercy Hospital Healdton, Inc.

  • Critical Access Hospital
  • Healdton, OK
  • NPI 1578710406
  Care Compare affiliation
• Mercy Hospital Tishomingo, Inc.

  dba Mercy Hospital Tishomingo

  • Critical Access Hospital
  • Tishomingo, OK
  • NPI 1932404431
  Care Compare affiliation

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1407421027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 14th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Ardmore",
            "state": "OK",
            "postal_code": "734011828",
            "country_code": "US",
            "telephone_number": "580-220-6378",
            "fax_number": "580-220-6772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BLAIR",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "7674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Tanner Brookover, DO
• Debbie Marie Brooks
• Brookshire Grocery Company (Reasors Pharmacy)
• Raya Katherine Brotherton
• Amy Brown
• Bristen Nikail Brown
• Cynthia Myrhl Brown, FNP-BC
• Elizabeth Brown, PHARMD
• Gerald Ray Brown Jr., PHARMD
• Hayley Marie Brown, PTA

• Internal Medicine Physician in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.