Active NPI
Brian Matthew Zimmer, D.O.
- Emergency Medicine Physician
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 26432
- Practice address
- 4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223 - Phone
- (405) 481-9515
- NPI assigned
- Dec 9, 2009
- Last updated
- Feb 16, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 26432 | MS | Primary |
| Emergency Medicine Physician | 207P00000X | 2024041635 | MO | |
| Emergency Medicine Physician | 207P00000X | 4826 | OK | |
| Emergency Medicine Physician | 207P00000X | OS18890 | FL |
Addresses
Primary practice location
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Mailing address
4200 S Douglas Ave
Suite 306
Oklahoma City, OK 73109-3223
Phone (405) 481-9515
Other practice location 1
6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200267650A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX, MO, LA, MS, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18890 | FL | MD | Emergency Medicine Physician |
| 2024041635 | MO | MD | Emergency Medicine Physician |
| 26432 | MS | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannibal Regional Healthcare System Inc | Current | Accepting new patients | |
| Lake Wales Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| RH Emergency Medicine of Highland Community LLC | Emergency Medicine | Current | Accepting new patients |
| Keystone Medical Services of Ms, Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Texas PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Skaggs Community Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Current | Accepting new patients | |
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Mercy Hospital Aurora | Current | Accepting new patients | |
| Acs Primary Care Physicians Southwest, PA | Emergency Medicine | Current | Accepting new patients |
| Washington Parish Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Relias Emergency Medicine Specialists of Hattiesburg LLC | Emergency Medicine | Current | Accepting new patients |
| Longhorn Emergency Medical Associates PA | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Ridgewood Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| St Tammany Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Amarillo Emergency Physicians LLP | Emergency Medicine | Past | Accepting new patients |
Locations
40100 Highway 27
Davenport, FL 33837
Phone (863) 419-2496
410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433
433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
500 Porter Ave
Aurora, MO 65605
Phone (417) 678-2122
6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460
6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460
1560 Sumrall Rd
Columbia, MS 39429
Phone (601) 736-6303
6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690
130 Highland Pkwy
Picayune, MS 39466
Phone (601) 358-9400
2620 Ridgewood Rd
Ste 300
Akron, OH 44313
1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658
200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
1600 Wallace Blvd
Amarillo, TX 79106
Phone (806) 212-2000
3003 Bee Caves Rd
Austin, TX 78746
Phone (512) 314-3800
919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
2901 4th St
Longview, TX 75605
Phone (281) 371-1800
400 Rosalind Redfern Grover Pkwy
Midland, TX 79701
Phone (432) 221-4850
Interoperability endpoints
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
Organizations & group practices 20
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1386874550
-
- Emergency Medicine Physician
- Gainesville, TX
- NPI 1538101019
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Multi-Specialty Clinic/Center
- Hannibal, MO
- NPI 1003956095
-
- Emergency Medicine Physician
- Hazlehurst, MS
- NPI 1174691059
-
- Emergency Medicine Physician
- Lake Wales, FL
- NPI 1033480405
-
- Emergency Medicine Physician
- Austin, TX
- NPI 1649669672
-
- Critical Access Hospital
- Aurora, MO
- NPI 1467543090
-
- Emergency Medicine Physician
- Hattiesburg, MS
- NPI 1609409440
-
- Emergency Medicine Physician
- Picayune, MS
- NPI 1033987946
-
- Emergency Medicine Physician
- Davenport, FL
- NPI 1750862694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771200000000",
"number": "1447589056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4200 S DOUGLAS AVE",
"address_2": "SUITE 306",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093223",
"telephone_number": "405-481-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4200 S DOUGLAS AVE",
"address_2": "SUITE 306",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731093223",
"telephone_number": "405-481-9515"
}
],
"practiceLocations": [
{
"address_1": "6000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016887",
"country_code": "US",
"telephone_number": "573-248-5100",
"fax_number": "573-248-5112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZIMMER",
"first_name": "BRIAN",
"middle_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-09",
"last_updated": "2026-02-16",
"certification_date": "2026-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MS",
"license": "26432",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2024041635",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4826",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "OS18890",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200267650A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.