Brandon Dean Trimble

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

32018 Hwy 59
Maud, OK 74854

Phone

(405) 374-1225

Fax

(866) 201-3530

NPI assigned

Feb 2, 2024

Last updated

Feb 2, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1706832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1548023435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 N CHEROKEE AVE APT B",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740175851",
            "telephone_number": "918-884-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32018 HWY 59",
            "city": "MAUD",
            "state": "OK",
            "postal_code": "74854",
            "telephone_number": "405-374-1225",
            "fax_number": "866-201-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIMBLE",
        "first_name": "BRANDON",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-02",
        "last_updated": "2024-02-02",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maud Public Schools
• Medi-Plex Nursing Centers, Inc. (Sunset Estates of Maud)
• Victoria Breanne Morrison, PTA
• Wendi Nichole Sheffield, M.S. CCC-SLP
• William O Taylor II
• Haley Chrisine Waltman
• Kelis Ayn Whisenhunt, MA, LPC, CADC
• Brian Keith Wilbourn
• Stephen Andrew Wolfe

• Peer Specialist in Maud, OK
• Providers in Maud, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.