DR. JORDAN A BREWSTER (NPI# 1023282423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023282423 |
| Entity Type | Individual |
| Full Name | DR. JORDAN A BREWSTER |
| Credential | M.D. |
| Practice Address |
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243 |
| Mailing Address |
9228 S Mingo Rd Suite 300 Tulsa OK 74133-5718 |
| Practice Telephone | 9185920999 |
| Practice Fax Number | 9185921021 |
| Mailing Telephone | 9185920999 |
| Mailing Fax Number | 9185921021 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD0000046600 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | TP927 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
32126 | OK | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1265 S UTICA AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134124829 | Deanene K Tonn | Physician Assistant | 1265 S Utica Ave, Ste 300, Tulsa, OK 74104-4243 | 2005-06-17 |
| 1790318426 | Pavel Greg Buzadzhi | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2020-02-21 |
| 1447735055 | Jonathan Daniel Bouldin | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-09-28 |
| 1265910269 | Lara Madison Long | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-08-01 |
| 1760969497 | Megan L Vitrano | Clinical Nurse Specialist | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-25 |
| 1790262012 | Brooke Nichol Weaver | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-07-20 |
| 1013409945 | Kristopher Wayne Mcdonald | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-06-06 |
| 1942797238 | Jay W Vazquez | Nurse Practitioner | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2018-04-23 |
| 1861937013 | Kelleigh Deeann Sprott | Physician Assistant | 1265 S Utica Ave, Tulsa, OK 74104-4243 | 2016-12-27 |
| 1083071534 | Eugenia Lynn Pulliam | Physician Assistant | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2016-01-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447269725 | Joseph J Gard | Internal Medicine | 1265 S Utica Ave Ste 300, Tulsa, OK 74104-4243 | 2006-08-05 |
| 1407016694 | Siva Kumar R. Soma | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2008-06-11 |
| 1356472583 | Craig Steven Cameron | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2007-03-08 |
| 1063541043 | Gregory Alexander Cogert | Internal Medicine | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2007-03-05 |
| 1922023951 | Mark Milton | Internal Medicine | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2006-07-12 |
| 1750326682 | Heart Rhythm Institute of Oklahoma, P.C. | Internal Medicine | 6465 S Yale Ave, Suite 202, Tulsa, OK 74136-7822 | 2006-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013063635 | Royce Lee Bargas | Internal Medicine | 3839 S Boulevard Ste 100, Edmond, OK 73013 | 2007-01-26 |
| 1730673906 | Royce L Bargas Do LLC | Internal Medicine | 3839 S Boulevard Ste 100, Edmond, OK 73013-5580 | 2018-06-20 |
| 1255560439 | Cliona Murphy | Internal Medicine | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2009-07-08 |
| 1770773491 | Sean Michael Halleran | Internal Medicine | 3433 Nw 56th St, Ste 400, Oklahoma City, OK 73112-4455 | 2007-07-30 |
| 1063621381 | Coty Wayne Jewell | Internal Medicine | 5224 E I 240 Service Rd Ste 100, Oklahoma City, OK 73135-2607 | 2007-05-22 |
| 1043350275 | Jack L. Collier | Internal Medicine | 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120-8382 | 2007-02-07 |
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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.