BROOKE M MCMAHAN (NPI# 1538329206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538329206 |
| Entity Type | Individual |
| Full Name | BROOKE M MCMAHAN |
| Other Name | BROOKE M BENNETT |
| Credential | AUD, CNIM |
| Practice Address |
15405 Daybright Dr Edmond OK 73013-9627 |
| Practice Telephone | 4052491379 |
| Mailing Telephone | 4052491379 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 231H00000X | Audiologist | 359 | OK | Speech, Language and Hearing Service Providers |
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200197630A | 05 |
| Street Address |
15405 DAYBRIGHT DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-9627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093173247 | Patrice Ann Cook | Specialist/Technologist, Other | 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 | 2016-02-03 |
| 1255736724 | Hometown Neurodiagnostics, LLC. | Specialist/Technologist, Other | 11900 N Macarthur Blvd Ste E2, Oklahoma City, OK 73162-1859 | 2014-10-27 |
| 1760620827 | Numan LLC | Specialist/Technologist, Other | 7225 S 85th East Ave, Suite 200, Tulsa, OK 74133-3157 | 2009-01-28 |
| 1013178565 | North Texas Neuroprotekt, Pa | Specialist/Technologist, Other | 9521 B Riverside Parkway #338, Tulsa, OK 74137-7422 | 2008-06-18 |
| 1003834474 | Neuro Links, Inc | Specialist/Technologist, Other | 1145 S Utica Ave Ste 901, Tulsa, OK 74104-4005 | 2006-07-17 |
| 1265803829 | Hometown Neurodiagnostics-colorado LLC | Specialist/Technologist, Other | 11900 N Macarthur Blvd Ste E2, Oklahoma City, OK 73162-1859 | 2015-10-08 |
| 1285872887 | Janna T Cheek | Specialist/Technologist, Other | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4000 | 2009-02-04 |
Please comment or provide details below to improve the information on BROOKE M MCMAHAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.