Individual provider Active NPI

Brian Matthew Zimmer, D.O.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1447589056
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
26432 Issued in MS
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200267650AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX, MO, LA, MS, FL6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20101020001050 OK Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 2 organizations
I20130823001147 TX Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 3 organizations
I20161107000379 MO Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 5 organizations
I20190205000923 LA Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 2 organizations
I20190226001915 MS Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 3 organizations
I20220811000642 FL Practitioner - Emergency Medicine 5799978904 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS18890FLMDEmergency Medicine Physician
2024041635MOMDEmergency Medicine Physician
26432MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Dec 2, 2024 Accepting new patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 19, 2022 Accepting new patients
RH Emergency Medicine of Highland Community LLC Emergency Medicine CurrentSince Apr 13, 2024 Accepting new patients
Keystone Medical Services of Ms, Inc Emergency Medicine CurrentSince Mar 15, 2022 Accepting new patients
Emergency Services of Texas PA Emergency Medicine CurrentSince Jul 4, 2016 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Apr 1, 2015 Accepting new patients
Mercy Hospital Aurora CurrentSince Mar 6, 2017 Accepting new patients
Skaggs Community Hospital Association Emergency Medicine CurrentSince Oct 21, 2017 Accepting new patients
Skaggs Community Hospital Association CurrentSince Oct 21, 2017 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 29, 2012 Accepting new patients
Mercy Hospital Aurora CurrentSince Mar 6, 2017 Accepting new patients
Acs Primary Care Physicians Southwest, PA Emergency Medicine CurrentSince Jun 20, 2016 Accepting new patients
Washington Parish Emergency Physicians Group LLC Emergency Medicine CurrentSince Dec 18, 2018 Accepting new patients
Relias Emergency Medicine Specialists of Hattiesburg LLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Jun 20, 2016 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Jul 21, 2022 Accepting new patients
Ridgewood Emergency Group, LLC Emergency Medicine CurrentSince Jul 21, 2022 Accepting new patients
St Tammany Emergency Physicians Group LLC Emergency Medicine CurrentSince Oct 25, 2018 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

  • FHIR API: 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.

View all 20

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

Verify at the official NPI Registry.