Brooke M McMahan, AUD, CNIM

Primary specialty

EEG Specialist/TechnologistTaxonomy code 246ZE0500X

Practice address

15405 Daybright Dr
Edmond, OK 73013-9627

Phone

(405) 249-1379

NPI assigned

Jun 16, 2008

Last updated

Jul 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Brooke M Bennett Former name

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1538329206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15405 DAYBRIGHT DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139627",
            "telephone_number": "405-249-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15405 DAYBRIGHT DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730139627",
            "telephone_number": "405-249-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMAHAN",
        "first_name": "BROOKE",
        "middle_name": "M",
        "credential": "AUD, CNIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "OK",
            "license": "359",
            "primary": false
        },
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200197630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "BENNETT",
            "middle_name": "M",
            "credential": "AUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacie McLaughlin, M.ED., LPC
• Megan McLean
• Haley McLemore
• Kaitlyn Elizabeth McLemore, LMSW
• Cathryn H McLendon, M.S., CCC/SLP
• Chasity Ann McMahan
• Talia McMahon
• Maureen Elizabeth McManus
• Eryn Michelle McMaster, PHD
• Marika McMillan, OTA

• Other Specialist/Technologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Other Specialist/Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; 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.

Verify at the official NPI Registry.