Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104967900 Individual Practitioner Female Practitioner

Dr. Brooke A Nida , MD

Pediatrics • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Dr. Brooke Nida, MD is a registered healthcare professional specializing in Pediatrics in Edmond, OK. Practice services are available at 1700 S RENAISSANCE BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 S Renaissance Blvd

Edmond, OK 73013

Telephone 4058444300
Fax 4058444333
Associated Practice Facility / Clinic
🏢 Brooke Nida, Md, Pc Facility NPI 1023268315

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
24 Specialists

Practicing in Edmond, OK (730 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OK 24592

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
200194500A (OK)
Medicaid State Provider ID
200194500B (OK)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
NPI 1164497780

Doctor of Medicine (M.D.)

NPI 1225568777

Doctor of Medicine (M.D.)

NPI 1346381159

Doctor of Medicine (M.D.)

Annmarie Benefield , LCSW

Social Worker - Clinical

NPI 1346620705

Licensed Clinical Social Worker

NPI 1396238135

Doctor of Osteopathic Medicine (D.O.)

Dr. William Smith , MD

Family Medicine

NPI 1548235807

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active July 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 14, 2017

Registered at 1700 S RENAISSANCE BLVD, EDMOND, OK 73013 (Tel: 4058444300)

📍
Updated Business Mailing Address July 14, 2017

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 4058444300)

👤
Provider Name / Credentials Updated July 14, 2017

Recorded as BROOKE NIDA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2017

Pediatrics (License #24592 in OK)

NPI Profile Active February 05, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location February 05, 2016

Registered at 1700 S RENAISSANCE BLVD, EDMOND, OK 73013 (Tel: 4058444300)

📍
Updated Business Mailing Address February 05, 2016

Registered at 5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 731125556 (Tel: 4058444300)

👤
Provider Name / Credentials Updated February 05, 2016

Recorded as BROOKE NIDA, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2016

Pediatrics (License #24592 in OK)

🟢
Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104967900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: July 14, 2017
Sole Proprietor: No

Mailing Address

5300 N Independence Ave, 280

Oklahoma City, OK 731125556

Phone: 4058444300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.