Active NPI
Juan A Brou, M.D.
- Plastic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1487614699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 17485
- Practice address
- 5300 N Grand Blvd
Suite 205
Oklahoma City, OK 73112-5647 - Phone
- (405) 945-0001
- Fax
- (405) 945-0004
- NPI assigned
- Mar 23, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Plastic Surgery Physician | 208200000X | 17485 | OK | Primary |
Addresses
Primary practice location
5300 N Grand Blvd
Suite 205
Oklahoma City, OK 73112-5647
Mailing address
5300 N Grand Blvd
Suite 205
Oklahoma City, OK 73112-5647
Phone (405) 945-0001
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17485 | OK | MD | Plastic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1487614699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 N GRAND BLVD",
"address_2": "SUITE 205",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125647",
"telephone_number": "405-945-0001",
"fax_number": "405-945-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 N GRAND BLVD",
"address_2": "SUITE 205",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731125647",
"telephone_number": "405-945-0001",
"fax_number": "405-945-0004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROU",
"first_name": "JUAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208200000X",
"taxonomy_group": "",
"desc": "Plastic Surgery",
"state": "OK",
"license": "17485",
"primary": true
}
],
"identifiers": [],
"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 Jul 13, 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.