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Stacey Brim , CMM

Specialist β€’ Edmond, OK

Active NPI 1851138077 Individual Practitioner Female Practitioner
Practice location in NPPES

15318 N May Ave Ste A
Edmond, OK 730138864

Call 4052048997 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15318 N May Ave Ste A

Edmond, OK 730138864

Telephone 4052048997

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Edmond and Oklahoma

12 active clinicians are listed under Specialist with a practice address in Edmond, OK (422 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Edmond

8.3% of these 12 clinicians have the CMS telehealth indicator.

16.7% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-19
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Practice Location September 19, 2025

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

βœ…
NPI Profile Active July 15, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 15, 2024

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

πŸ“
Business Mailing Address (Initial Record) July 15, 2024

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

πŸ‘€
Provider Name / Credentials (Initial Record) July 15, 2024

Recorded as STACEY BRIM, CMM

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

Specialist (license number reported to NPPES: OK 1994)

🟒
Initial NPI Registration & Enumeration July 15, 2024

First registered as active Individual Practitioner in NPPES Database.

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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

Other Specialists in Edmond

All Specialists in Edmond

Mailing Address

4401 Lombardy Ln

Oklahoma City, OK 731122534

Phone: 4052048997

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.