Jeremiah Bro
STILLWATER MEDICAL CENTER AUTHORITY


Address: 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Phone: 4055333010

Jeremiah Bro (NPI# 1104337781, PAC ID# 2264793306) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1104337781
PAC ID by PECOS 2264793306
Professional Enrollment ID I20180306000522
Full Name Jeremiah Bro
Organization Legal Name STILLWATER MEDICAL CENTER AUTHORITY
Address 1301 W 6th Ave
Suite 207
Stillwater
OK 74074-4381
Phone Number 4055333010
Gender M
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 2365353794
Number of Group Practice Members 126
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370049 STILLWATER MEDICAL CENTER

Other Locations

Address Phone Organization
1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381 4055333010 STILLWATER MEDICAL CENTER AUTHORITY

Organization Information

Organization Legal Name STILLWATER MEDICAL CENTER AUTHORITY
Physicians 110

Physicians with the same organization

Name Specialty Organization Address
Jaime Lyn Griffith Family Medicine Stillwater Medical Center Authority 600 S Linwood Ave A, Cushing Primary Care, Cushing, OK 74023-4630
Rahmah Hall Physician Assistant Stillwater Medical Center Authority 1412 Fir St, Perry, OK 73077-5036
Catherine Kindt Nurse Practitioner Stillwater Medical Center Authority 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402
Julia K Fell Physician Assistant Stillwater Medical Center Authority 417 Fairview Ave, Ponca City, OK 74601-1923
Jon M Johnson Ii Internal Medicine Stillwater Medical Center Authority 608 S Hester, Stillwater, OK 74074-4516
Marshall A Walker Optometry Stillwater Medical Center Authority 707 S Western Rd, Stillwater, OK 74074-4126
Mindy A Mcgee Physician Assistant Stillwater Medical Center Authority 414 W Hwy 64, Morrison, OK 73061-9494
William R Ford Obstetrics/gynecology Stillwater Medical Center Authority 1411 W 7th Ave, 202 Sw Women's Clinic, Stillwater, OK 74074-4300
Robert W Lauvetz Urology Stillwater Medical Center Authority 816 S Pine St, Stillwater, OK 74074-4349
Lisa Diane Noe Physician Assistant Stillwater Medical Center Authority 1002 E Cherry St, Cushing, OK 74023-4102

Office Location

Street Address 1301 W 6TH AVE
SUITE 207
City STILLWATER
State OK
Zip 74074-4381

Physicians in the same location

Name Specialty Organization Address
Shanna L Douglass Nurse Practitioner Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Jerrod L Vaughn General Surgery Stillwater Medical Center Authority 1301 W 6th Ave, 105 Stillwater Surg Assoc, Stillwater, OK 74074-4376
James B Harris Cardiovascular Disease (cardiology) Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Cara D Pence General Surgery Stillwater Medical Center Authority 1301 W 6th Ave, 105 Stillwater Surg Assoc, Stillwater, OK 74074-4376
Jawad M Trad Cardiovascular Disease (cardiology) Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Mirabel Forteh Nurse Practitioner Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Akinola O Ogundipe Hematology/oncology Stillwater Medical Center Authority 1301 W 6th Ave, Stillwater, OK 74074-4376
Shyam Poludasu Interventional Cardiology Stillwater Medical Center Authority 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381
Arthur D Hagan Cardiovascular Disease (cardiology) Stillwater Medical Center Authority 1301 W 6th Ave, Suite 208, Stillwater, OK 74074-4381
George Darby Pope Thoracic Surgery Stillwater Medical Center Authority 1301 W 6th Ave, 105 Stillwater Surg Assoc, Stillwater, OK 74074-4376
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Physicians in the same zip code

Name Specialty Organization Address
Charles R Horner Jr. Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Brandon R Mason Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Phillip G Russell Diagnostic Radiology Stillwater Radiology LLC 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549
Kenda G Baker Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Thomas C Hall Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Deanna J Cummings Physician Assistant Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
Sara K Metcalf Dermatology Oliver Street 5.01(a) Inc. 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854
J Weston H. Reese Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Ashton Nicole Shelton Chiropractic Reese Chiropractic and Wellness, P.C. 1505 S Sangre Rd, Stillwater, OK 74074-1869
Jennifer Pauline Childers Clinical Social Worker Jennifer Childers Lcsw Counseling LLC 2324 W 7th Pl, Stillwater, OK 74074-1927
Find all physicians in zip 74074

Competitor

Search similar physicians

City STILLWATER
Zip Code 74074
Specialty NURSE PRACTITIONER
City + Specialty STILLWATER + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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