Brooke N Bullard, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F06211819 Issued in OK

Practice address

21 W Central Ave
Miami, OK 74354-6815

Phone

(918) 542-3900

NPI assigned

Jan 12, 2022

Last updated

Jan 12, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Dr.Mickey Tyrrell, M.D. PLLC

  • Family Medicine Physician
  • Vinita, OK
  • NPI 1598962771
  Medicare reassignment NPD
• Integris Miami Hospital

  dba INTEGRIS Miami Physicians Clinic

  • Rural Health Clinic/Center
  • Miami, OK
  • NPI 1912508375
  NPD

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1871244780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W CENTRAL AVE",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546815",
            "telephone_number": "918-542-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W CENTRAL AVE",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546815",
            "telephone_number": "918-542-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLARD",
        "first_name": "BROOKE",
        "middle_name": "N",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-01-12",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "F06211819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brooke.bullard@integrisok.com",
            "affiliation": "N",
            "endpointDescription": "secure email or verbal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "21 W Central Ave",
            "city": "Miami",
            "state": "OK",
            "country_code": "US",
            "postal_code": "743546815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James K Brunhuber, LPC, LADC, ICAADC
• Kara L Bruton, COTA/L
• Sherri Lynn Bryant, LPC
• Julie Buchanan, PTA
• Teresa L Buffalo, LCSW
• Keesha Kay Bunch, C-CHW/PRN
• Katherine Renee Burke, M.S.
• Emily Dawn Burkybile, IBCLC
• Presley Ashtin Burr, LCSW
• Isabella Gail Burrell, LPC, NCGC1

• Family Medicine Physician in Miami, OK
• Providers in Miami, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.