Individual provider Active NPI

Amanda Lynn Brown, MD

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1689806259
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27239 Issued in OK
Practice address
1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone
(918) 400-7001
Fax
(539) 202-5070
NPI assigned
Aug 17, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 27239 OK Primary

Addresses

Primary practice location

1538 N Lewis Ave
Tulsa, OK 74110-2535

Mailing address

1538 N Lewis Ave
Tulsa, OK 74110-2535
Phone (918) 400-7001

Other practice location 1

8551 N 125th East Ave Ste 175
Owasso, OK 74055-2297
Phone (918) 265-3797

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
I20120831000702 OK Practitioner - Family Practice 5193972800 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27239OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Nov 2, 2020 Accepting new patients
Oak Street Health Physicians Group of Oklahoma, LLC Family Medicine CurrentSince Nov 13, 2023 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Nov 2, 2020 Accepting new patients
Remedy Health Direct Primary Care CurrentSince Feb 1, 2023 Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients
Remedy Health Direct Primary Care Family Medicine PastSince Feb 1, 2023 Accepting new patients
St John Urgent Care Clinics Inc PastSince Nov 1, 2020 Accepting new patients

Locations

8551 N 125th East Ave
Ste 175
Owasso, OK 74055
Phone (918) 265-3797

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

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

1538 N Lewis Ave
Tulsa, OK 74110
Phone (918) 400-7001

Interoperability endpoints

  • Direct secure messaging: amanda.brown@133635819438084.direct.elationemr.com
  • Direct secure messaging: amanda.brown@214522098548740.direct.elationemr.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1689806259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 N LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741102535",
            "telephone_number": "918-400-7001",
            "fax_number": "539-202-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8551 N 125th East Ave Ste 175",
            "address_purpose": "LOCATION",
            "city": "Owasso",
            "state": "OK",
            "postal_code": "740552297",
            "country_code": "US",
            "telephone_number": "918-265-3797",
            "fax_number": "918-395-9031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-17",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "27239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.