Justin Miles Brous

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

100 N University Dr
Edmond, OK 73034-5207

Phone

(405) 471-1174

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1841830361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 LITTLE RIVER CIR",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602500",
            "telephone_number": "405-471-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N UNIVERSITY DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345207",
            "telephone_number": "405-471-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUS",
        "first_name": "JUSTIN",
        "middle_name": "MILES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "774",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brooks, O.D.
• Lanny Don Brooks, M.ED., L.P.C.
• Maryann Brooks, LCSW
• Matthew P Brooks, O.D.
• Timmy Brooks, DDS
• Toby D Broussard, M.D.
• Amber Dawn Brown, CNP, APRN
• Anitta Brown
• Brenda Brown
• Diane D. Brown, L.P.C.

• Student in an Organized Health Care Education/Training Program in Edmond, OK
• Providers in Edmond, OK by specialty
• Student in an Organized Health Care Education/Training Program in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; 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.