BRANDON CHAD ROGERS (NPI# 1104378983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104378983 |
| Entity Type | Individual |
| Full Name | BRANDON CHAD ROGERS |
| Practice Address |
401 W Main St Barnsdall OK 74002-0000 |
| Practice Telephone | 9188473527 |
| Mailing Telephone | 9188473527 |
| Enumeration Date | 2016-10-27 |
| Last Update Date | 2016-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700346186 | Brandon Arthur Rogers | Student in an Organized Health Care Education/Training Program | 27050 Cedar Rd Apt 409, Beachwood, OH 44122-1125 | 2019-03-22 |
| 1023674611 | Brandon Rogers | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 6211, Lubbock, TX 79430-0002 | 2019-05-20 |
| 1891275046 | Brandon Tyler Rogers | Case Manager/Care Coordinator | 1658 Us Highway 371, Prescott, AR 71857-7064 | 2018-08-17 |
| 1124339031 | Brandon James Rogers | Case Manager/Care Coordinator | 1500 Ne Irving St, Suite 250, Portland, OR 97232-2243 | 2010-06-24 |
| 1104833730 | Brandon Scott Rogers | Dentist | 1921 Stonecipher Blvd, Ada, OK 74820 | 2006-08-03 |
| Street Address |
401 W MAIN ST |
| City | BARNSDALL |
| State | OK |
| Zip Code | 74002-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047330 | Gabriele Dawn Barrone | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002-6631 | 2020-03-07 |
| 1912547852 | Grand Lake Mental Health Center, Inc. | Clinic/Center | 401 W Main St, Barnsdall, OK 74002-6631 | 2020-01-08 |
| 1831749787 | Shalena Diane Pece | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002 | 2019-09-12 |
| 1023662343 | Destiny A Ritchie | Counselor | 401 W Main St, Barnsdall, OK 74002-6631 | 2019-07-25 |
| 1386296176 | Crala Marlin | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002 | 2019-07-11 |
| 1639738990 | Frances Kay Garrett | Peer Specialist | 401 W Main St, Barnsdall, OK 74002-6631 | 2019-06-11 |
| 1710542956 | Danielle Antle | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002-6631 | 2019-05-02 |
| 1376000554 | Jeana Reed | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002 | 2019-02-25 |
| 1649706771 | Leisa James | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002-0000 | 2017-05-10 |
| 1346783123 | Savanna Blu Aflleje | Case Manager/Care Coordinator | 401 W Main St, Barnsdall, OK 74002-0000 | 2016-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165866 | Chelsea Janice-marie Allen | Case Manager/Care Coordinator | 401 W. Main St., Barnsdall, OK 74002 | 2019-07-11 |
| 1841648953 | Haley Perkins | Case Manager/Care Coordinator | 401 W, Main, Barnsdall, OK 74002 | 2016-05-31 |
| 1205218146 | Megan Hudson | Social Worker | 401 W Main St., Barnsdall, OK 74002 | 2015-06-28 |
| 1801078621 | Lura Lea Jaquess | Social Worker | 609 Cedar Ave., Barnsdall, OK 74002 | 2007-12-04 |
| 1659393015 | Jill Suzanne Sago | Counselor | 401 W. Main St., Barnsdall, OK 74002 | 2006-07-24 |
| 1881686186 | Marcus D Sizemore | Physician Assistant | 112 N 5th, Barnsdall, OK 74002 | 2005-08-22 |
| 1740822493 | Andrea Cousparis | Social Worker | 401 West Main Street, Barnsdall, OK 74002 | 2019-10-15 |
| 1790335644 | Hanna Grace Stroup | Case Manager/Care Coordinator | 401 W. Main St., Barnsdall, OK 74002 | 2019-09-12 |
| 1891352290 | Mason Allan Moody | Case Manager/Care Coordinator | 401 W. Main St, Barnsdall, OK 74002 | 2019-05-22 |
| 1568027951 | Amber Quillin | Case Manager/Care Coordinator | 401 W. Main St., Barnsdall, OK 74002 | 2019-05-01 |
| Find all providers in zip 74002 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639738990 | Frances Kay Garrett | Peer Specialist | 401 W Main St, Barnsdall, OK 74002-6631 | 2019-06-11 |
| 1477112787 | Thomas Carl Libby II | Peer Specialist | 401 W. Main St., Barnsdall, OK 74002-5233 | 2019-06-10 |
| 1871099630 | Johanna Leigh Chancellor | Peer Specialist | 401 W Main, Barnsdall, OK 74002-0000 | 2018-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972537 | Tamra Lynn Cunningham | Peer Specialist | 764 Sherwin Ave, Ponca City, OK 74604-6112 | 2020-11-05 |
| 1699375691 | Martha Isabel Zapata | Peer Specialist | 5740 E 72nd Ct, Tulsa, OK 74136-7202 | 2020-10-28 |
| 1376143883 | Tina Marie Lopez | Peer Specialist | 933 N Oak St, Ponca City, OK 74601-3218 | 2020-10-26 |
| 1518566264 | Vincent Oaks Cox | Peer Specialist | 3585 S 439, Pryor, OK 74361-9346 | 2020-10-23 |
| 1558960146 | Sarah Elizabeth Walters | Peer Specialist | 2139 W Jasper St Apt B1, Broken Arrow, OK 74011-8028 | 2020-10-23 |
| 1861091548 | Ryan Vanmeter | Peer Specialist | 1965 Ladera Ln, Edmond, OK 73034-9787 | 2020-10-22 |
| 1255930038 | Brandon Loyd Hopkins | Peer Specialist | 446 S Scraper St, Vinita, OK 74301-4250 | 2020-10-22 |
| 1225637366 | Crystal Dawn Adams | Peer Specialist | 200 N Sante Fe Ave, Bartlesville, OK 74003 | 2020-10-20 |
| 1194324491 | Judith Anne Young | Peer Specialist | 3934 Se 27th St, Del City, OK 73115-2620 | 2020-10-19 |
| 1407455892 | Kristen Michelle Stock | Peer Specialist | 804 N Dryden Cir, Stillwater, OK 74075-7108 | 2020-10-18 |
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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.