Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851138077 Individual Practitioner Female Practitioner

Stacey Brim , CMM

Specialist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Stacey Brim, CMM is a registered healthcare professional specializing in Specialist in Edmond, OK. Practice services are available at 15318 N MAY AVE STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15318 N May Ave Ste A

Edmond, OK 730138864

Telephone 4052048997

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 31.0 Yrs
State Avg: 38.7 Yrs
Regional Practice Density
13 Specialists

Practicing in Edmond, OK (463 Statewide)

Telehealth Adoption Rate
7.7% 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

CMS Verified: 2025-09-19
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License OK 1994

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location September 19, 2025

Registered at 15318 N MAY AVE STE A, EDMOND, OK 730138864 (Tel: 4052048997)

NPI Profile Active July 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 15, 2024

Registered at 3809 NW 166TH ST STE 4, EDMOND, OK 730129281 (Tel: 4052048997)

📍
Updated Business Mailing Address July 15, 2024

Registered at 4401 LOMBARDY LN, OKLAHOMA CITY, OK 731122534 (Tel: 4052048997)

👤
Provider Name / Credentials Updated July 15, 2024

Recorded as STACEY BRIM, CMM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2024

Specialist (License #1994 in OK)

🟢
Initial NPI Registration & Enumeration July 15, 2024

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: 1851138077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2024
Last Update: September 19, 2025
Sole Proprietor: No

Mailing Address

4401 Lombardy Ln

Oklahoma City, OK 731122534

Phone: 4052048997

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.