Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Erin Nicole Brack , DO

Pediatrics β€’ Tinker Afb, OK

Active NPI 1265606701 Individual Practitioner Female Practitioner
Practice location in NPPES

7050 Air Depot Blvd Ste 1094
Tinker Afb, OK 731458716

Call 8508838550 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

7050 Air Depot Blvd Ste 1094

Tinker Afb, OK 731458716

Telephone 8508838550
Organization at the Same NPPES Address or Phone
Oklahoma City Vamc Facility NPI 1598391716

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Oklahoma City, OK. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2008

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Brack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Brack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Tinker Afb and Oklahoma

3 active clinicians are listed under Pediatrics with a practice address in Tinker Afb, OK (707 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, 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: 2025-07-02
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES IN 02003694A

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.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20240313000484

Enrollment State Jurisdiction

OK

PECOS Control ID

2466677059

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

1200 Childrens Ave

Oklahoma City, OK 731044637

Phone: 4052715437

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Dr. Benjamin Martin , DPT

Physical Therapist

NPI 1336575489

Doctor of Physical Therapy

Dr. Jenna Tribull , MD

Emergency Medicine

NPI 1184253320

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Practice Location July 02, 2025

Registered at 7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 731458716 (Tel: 8508838550)

πŸ“
Updated Business Mailing Address July 02, 2025

Registered at 7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 731458716

πŸ“
Updated Practice Location April 24, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838550)

βœ…
NPI Profile Active July 27, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 27, 2016

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508838550)

πŸ“
Business Mailing Address (Initial Record) July 27, 2016

Registered at 307 BOATNER RD, EGLIN AFB, FL 325421302 (Tel: 8508838550)

πŸ‘€
Provider Name / Credentials (Initial Record) July 27, 2016

Recorded as ERIN BRACK, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2016

Pediatrics (license number reported to NPPES: IN 02003694A)

🟒
Initial NPI Registration & Enumeration April 16, 2008

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1265606701
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2008
Last Update: July 02, 2025
Sole Proprietor: Yes

Mailing Address

7050 Air Depot Blvd Ste 1094

Tinker Afb, OK 731458716

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.