Individual provider Active NPI

Rory Brewster

  • Family Nurse Practitioner
  • Oklahoma City, OK
National Provider Identifier
1992247449
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
107758 Issued in OK
Practice address
8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone
(405) 749-7099
Fax
(405) 773-9418
NPI assigned
Nov 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 0107758 OK
Family Nurse Practitioner 363LF0000X 107758 OK Primary

Addresses

Primary practice location

8325 NW Expressway
Oklahoma City, OK 73162-6006

Mailing address

8325 NW Expressway
Oklahoma City, OK 73162-6006
Phone (405) 749-7099

Other practice location 1

34400 Independence St
Shawnee, OK 74804-8906
Phone (405) 630-5093

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171019001516 OK Practitioner - Nurse Practitioner 9537435581 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advance Physicians GroupGroup PAC ID 0244122083, 23 clinicians

Practice addresses (Care Compare)

705 N Broadway St
Tecumseh, OK 74873-1413
Phone (405) 759-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0107758OKMDEmergency Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Feb 15, 2022 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 9, 2017 Accepting new patients
Mercy Hospital Logan County, Inc CurrentSince Oct 9, 2017 Accepting new patients
Mercy Hospital Logan County Inc Current Accepting new patients
Emergency Physicians of Mid-America, P.C. CurrentSince Dec 18, 2017 Accepting new patients
Famcore Health, LLC Family Current Accepting new patients
Saints Medical Group, LLC CurrentSince Feb 15, 2022 Accepting new patients
Mercy Clinic Oklahoma Communities CurrentSince Oct 9, 2017 Accepting new patients
Mercy Oklahoma Ambulatory Services LLC CurrentSince Apr 4, 2021 Accepting new patients
Mercy Hospital Oklahoma City, Inc PastSince Apr 4, 2021 Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients
St Anthony Shawnee Hospital Inc Past Accepting new patients

Locations

1380 W Covell Rd
Ste 132
Edmond, OK 73003
Phone (405) 279-9637

200 S Academy Rd
Guthrie, OK 73044
Phone (405) 260-4165

2919 S Division St
Guthrie, OK 73044
Phone (405) 282-6301

1919 E Memorial Rd
Oklahoma City, OK 73131
Phone (405) 341-7009

4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455

6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

8325 NW Expressway
Oklahoma City, OK 73162
Phone (405) 728-8000

12220 N MacArthur Blvd
Ste D
Oklahoma City, OK 73162
Phone (405) 437-1100

4505 Memorial Cir
Oklahoma City, OK 73142
Phone (405) 749-7099

3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Interoperability endpoints

  • Direct secure messaging: rbrewster40481@direct-ehr-ssmhc.com
  • Direct secure messaging: rbrewster959468@directc.mercy.net

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1992247449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-773-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8325 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731626006",
            "telephone_number": "405-749-7099",
            "fax_number": "405-773-9418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34400 Independence St",
            "address_purpose": "LOCATION",
            "city": "Shawnee",
            "state": "OK",
            "postal_code": "748048906",
            "country_code": "US",
            "telephone_number": "405-630-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREWSTER",
        "first_name": "RORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-15",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "OK",
            "license": "0107758",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "107758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.