Brooke K Stough DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

297 Issued in OK

Legal business name

BROOKE K STOUGH DPM

Practice address

1113 Winchester Ave
Enid, OK 73703-8401

Phone

(405) 210-8071

NPI assigned

Nov 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brooke Kelley Stough, DPM

Title

Podiatrist/Owner

Phone

(405) 210-8071

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1699019869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 WINCHESTER AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737038401",
            "telephone_number": "405-210-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 WINCHESTER AVE",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737038401",
            "telephone_number": "405-210-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKE K STOUGH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-12",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "STOUGH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "KELLEY",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "405-210-8071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200441760A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Breckenridge, D.O.
• Gary Lee Breece, D.D.S., M.S.
• Tracy L. Brigham, LPC
• Idayat Brimah, MD
• Sandra G Brocar
• Cally Brothers
• Douglas Kip Brown, MD
• Heather Brown
• Julia Brown
• Amy Renee Brueggen, PHARMD

• Foot & Ankle Surgery Podiatrist in Enid, OK
• Providers in Enid, OK by specialty
• Foot & Ankle Surgery Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.