Individual provider Active NPI

Brandon Stephen Brown, M.D.

  • Emergency Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1497071609
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
27722 Issued in OK
Practice address
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone
(405) 752-3715
Fax
(405) 936-5058
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 27722 OK Primary

Addresses

Primary practice location

4300 W Memorial Rd
Oklahoma City, OK 73120

Mailing address

4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 752-3715

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131009000417 OK Practitioner - Emergency Medicine 2567696487 Reassigns benefits to 11 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Kingfisher, Inc CurrentSince Aug 21, 2015 Accepting new patients
Mercy Hospital Healdton, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Jul 21, 2013 Accepting new patients
Mercy Hospital Watonga Inc CurrentSince Jun 1, 2015 Accepting new patients
Mercy Hospital Tishomingo, Inc. CurrentSince Jan 6, 2022 Accepting new patients
Mercy Hospital Tishomingo, Inc. Current Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Jul 21, 2013 Accepting new patients
Mercy Hospital Tishomingo, Inc Emergency Medicine CurrentSince Jan 6, 2022 Accepting new patients
Mercy Hospital Logan County Inc CurrentSince Jul 21, 2013 Accepting new patients
Mercy Hospital Healdton, Inc CurrentSince Jan 6, 2022 Accepting new patients
Mercy Hospital Kingfisher, Inc Current Accepting new patients
Mercy Hospital Healdton, Inc. Current Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients

Locations

1011 14th Ave NW
Ardmore, OK 73401
Phone (580) 220-6658

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

3462 Hospital Rd
Healdton, OK 73438
Phone (580) 229-0701

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962

1000 S Byrd St
Tishomingo, OK 73460
Phone (580) 371-2327

500 N Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-2233

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1497071609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731208304",
            "telephone_number": "405-752-3715",
            "fax_number": "405-936-5058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 W MEMORIAL RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "73120",
            "telephone_number": "405-752-3715",
            "fax_number": "405-936-5058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "BRANDON",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "27722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.