Individual provider Active NPI

Brandon King, APRN-CNP

  • Acute Care Nurse Practitioner
  • Tulsa, OK
National Provider Identifier
1588007884
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
93730 Issued in OK
Practice address
1919 S Wheeling Ave Ste 606
Tulsa, OK 74104-5635
Phone
(918) 748-7676
NPI assigned
Apr 17, 2013
Last updated
Oct 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 93730 OK Primary

Addresses

Primary practice location

1919 S Wheeling Ave Ste 606
Tulsa, OK 74104-5635

Mailing address

1919 S Wheeling Ave Ste 606
Tulsa, OK 74104-5635
Phone (918) 748-7676

Other practice location 1

6585 S Yale Ave Ste 710
Tulsa, OK 74136-8352
Phone (918) 502-4900

Other practice location 2

6465 S Yale Ave Ste 202
Tulsa, OK 74136-7804
Phone (918) 499-4000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130815000410 OK Practitioner - Nurse Practitioner 2365684602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. John Physicians, Inc.Group PAC ID 2567366495, 262 clinicians

Practice addresses (Care Compare)

1705 E 19TH St
Tulsa, OK 74104-5410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 2, 2013 Accepting new patients
Warren Clinic Inc CurrentSince Dec 5, 2022 Accepting new patients
St. John Physicians, Inc. CurrentSince Jul 2, 2013 Accepting new patients
Ahs Henryetta Hospital LLC Past Accepting new patients

Locations

220 S Elm St
Jenks, OK 74037
Phone (918) 299-2674

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1919 S Wheeling Ave
Ste 600
Tulsa, OK 74104
Phone (918) 634-7500

1919 S Wheeling Ave
Ste 606
Tulsa, OK 74104
Phone (918) 748-7676

2000 S Wheeling Ave
Ste 200
Tulsa, OK 74104
Phone (918) 748-7854

6465 S Yale Ave
Ste 202
Tulsa, OK 74136
Phone (918) 502-2100

6585 S Yale Ave
Ste 710
Tulsa, OK 74136
Phone (918) 502-4900

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1588007884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 606",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045635",
            "telephone_number": "918-748-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S WHEELING AVE STE 606",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045635",
            "telephone_number": "918-748-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6585 S Yale Ave Ste 710",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741368352",
            "country_code": "US",
            "telephone_number": "918-502-4900",
            "fax_number": "918-502-4915",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6465 S Yale Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741367804",
            "country_code": "US",
            "telephone_number": "918-499-4000",
            "fax_number": "918-499-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "BRANDON",
        "name_prefix": "Mr.",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "93730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.