NPIMap

Individual provider Active NPI

Cayci L Brickman, MD

  • Family Medicine Physician
  • Okeene, OK
National Provider Identifier
1932586468
Registry record updated Nov 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33600 Issued in OK
Practice address
124 N 6TH St
Okeene, OK 73763-9135
Phone
(580) 822-4404
Fax
(580) 822-4403
NPI assigned
May 5, 2015
Last updated
Nov 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 38429 SC
Family Medicine Physician 207Q00000X 33600 OK Primary

Addresses

Primary practice location

124 N 6TH St
Okeene, OK 73763-9135

Mailing address

PO Box 389
Okeene, OK 73763-0389
Phone (580) 822-4404

Other identifiers 1

IdentifierTypeStateIssuer
400522415MedicaidOK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cbrickman268083@direct-ehr-ssmhc.com Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180629000017 OK Practitioner - Family Practice 9830481605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Okeene Municipal Hospital and Schallmo AuthorityGroup PAC ID 3971583535, shared by 3 NPIs, 3 clinicians

Practice addresses (Care Compare)

207 E F St
Okeene, OK 73763-9441
Phone 5808224417134

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.74 of 100Reported as group
Quality
68.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33600OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Okeene Municipal Hospital and Schallmo Authority CurrentSince Aug 13, 2018 Accepting new patients
Okeene Municipal Hospital and Schallmo Authority CurrentSince Aug 13, 2018 Accepting new patients
Summit Medical Center Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404

207 E F St
Okeene, OK 73763
Phone (580) 822-4321

Interoperability endpoints

  • Direct secure messaging: cbrickman268083@direct-ehr-ssmhc.com

Organizations & group practices 5

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 10

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1932586468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737630389",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 N 6TH ST",
            "city": "OKEENE",
            "state": "OK",
            "postal_code": "737639135",
            "telephone_number": "580-822-4404",
            "fax_number": "580-822-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKMAN",
        "first_name": "CAYCI",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "38429",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "33600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400522415",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbrickman268083@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cbrickman268083@direct-ehr-ssmhc.com",
            "address_1": "124 N 6th St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737639135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCd",
            "address_1": "124 N 6th St",
            "city": "Okeene",
            "state": "OK",
            "country_code": "US",
            "postal_code": "737639135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Okeene, OK

Sources for this page

Verify at the official NPI Registry.