BRENT O. HALE JR. (NPI# 1861488306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861488306 |
| Entity Type | Individual |
| Full Name | BRENT O. HALE JR. |
| Credential | M.D. |
| Practice Address |
1200 Everett Dr Oklahoma City OK 73104-5047 |
| Mailing Address |
4500 S Garnett Rd Ste 919 Tulsa OK 74146-5229 |
| Practice Telephone | 4053782197 |
| Practice Fax Number | 4053782196 |
| Mailing Telephone | 9187286145 |
| Mailing Fax Number | 9186642521 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
20311 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699266866 | Brent Hale | Dentist | 980 N Phoenix Rd Ste 101, Medford, OR 97504-9447 | 2018-05-23 |
| 1558558478 | Brent Edward Hale II | Dentist | 2901 Wilshire Blvd Ste 301, Santa Monica, CA 90403-4906 | 2007-09-25 |
| 1588752638 | Brent Alan Hale | Social Worker | 17707 Studebaker Rd, Suite # 208, Cerritos, CA 90703-2640 | 2006-10-11 |
| Street Address |
1200 EVERETT DR |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73104-5047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043219603 | Kimberly Dawn Ernst | Pediatrics | 1200 Everett Dr, 7th Floor North Pavilion, Div of Neonatology, Oklahoma City, OK 73104-5047 | 2005-07-17 |
| 1003443094 | Lauren Mcmullan | Pharmacist | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2020-03-27 |
| 1285299016 | Hamza Iqbal | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-05-07 |
| 1639631336 | Turner Walsh Daines | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-04-02 |
| 1285195990 | Austin James Mccullough | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-03-26 |
| 1720546930 | Michelle Anne Seright | Nurse Practitioner | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2019-03-06 |
| 1689169211 | Ramit Relan | Student in an Organized Health Care Education/Training Program | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2018-06-26 |
| 1366930448 | Rosemarie Zanabria | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2018-04-25 |
| 1891282885 | Tony Kim | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104 | 2018-04-16 |
| 1770080251 | Jalal Itani | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104 | 2018-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356979645 | Kayla Campbell | Dietitian, Registered | Stephenson Cancer Center, 800 Ne 10th Street, Oklahoma City, OK 73104 | 2020-03-31 |
| 1447715453 | Roman Michael Garcia | Dentist | Ou Children's Physicians - Dental Clinic, 1200 Children's Ave, 8f, Oklahoma City, OK 73104 | 2019-02-04 |
| 1265902340 | Jenna Lyn Celii | Registered Nurse | 920 Sl Young Blvd Ste 1140, Oklahoma City, OK 73104 | 2018-11-30 |
| 1407337462 | Opus Medical, LLC | Psychiatry & Neurology | 4 Ne 10th St Suite 467, Oklahoma City, OK 73104 | 2018-08-27 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1447746417 | Nimrah Bader | Internal Medicine | 800 Stanton L. Young Blvd., Aat 6300, Oklahoma City, OK 73104 | 2018-07-02 |
| 1417440793 | Helen Judith Turkson Apetor | Nurse Practitioner | 700 Ne 13th, Oklahoma City, OK 73104 | 2018-06-11 |
| 1003307935 | Mary Katlin Nixon | Obstetrics & Gynecology | 800 Stanton L Young Blvd Ste 2319, Oklahoma City, OK 73104 | 2018-05-26 |
| 1558851220 | Bryce Yohannan | Student in an Organized Health Care Education/Training Program | 800 Stanton L Young Blvd, Aat 6300, Oklahoma City, OK 73104 | 2018-05-17 |
| 1346746690 | Kacy Anne Richburg | Orthopaedic Surgery | 711 Stanton L Young Blvd Ste 111, Oklahoma City, OK 73104 | 2018-04-04 |
| Find all providers in zip 73104 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811959166 | Andrew Mark Hoelscher | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2006-04-03 |
| 1255327417 | John D Wells | Emergency Medicine | 34 Sw 89th St, Oklahoma City, OK 73139-8510 | 2005-09-23 |
| 1841286333 | Kevin M Penwell | Emergency Medicine | 11808 S May Ave, Oklahoma City, OK 73170-2560 | 2005-09-21 |
| 1477117638 | Meryl Elaine Williamson | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2019-04-23 |
| 1861971699 | Emma Zheng | Emergency Medicine | 921 Ne 13th St, Oklahoma City, OK 73104-5007 | 2018-08-13 |
| 1174892533 | Faster Care, LLC | Emergency Medicine | 8105 Nw Expressway, Oklahoma City, OK 73162-6004 | 2011-12-14 |
| 1609154848 | Trinh Nam Ho | Emergency Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2011-07-21 |
| 1295839280 | Ibmc Er Physicians | Emergency Medicine | 3300 Nw Expressway St, Oklahoma City, OK 73112-4418 | 2006-09-11 |
| 1871512087 | Deaconess Emergency Physicians, LLC | Emergency Medicine | 5501 N Portland Ave, Oklahoma City, OK 73112-2074 | 2006-07-19 |
| 1760440879 | Brent C Wilson | Emergency Medicine | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2006-05-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73104 |
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| 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.