Doctor profile · Federal record
Dr. Brooke Nida, MD
Pediatrics Physician · Edmond, OK
- NPI 1104967900
- 19 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1700 S Renaissance Blvd
Edmond, OK 73013
(405) 844-4300
fax (405) 844-4333 - Mailing address
-
5300 N Independence Ave, 280
Oklahoma City, OK 731125556
Credentials & registration
- NPI registered
- February 2007 — 19 yrs on file
- Profile last updated
- July 14, 2017
- Specialty taxonomy
- 208000000X — NUCC code
- State license (1)
- Oklahoma #24592
- Medicaid (2)
- OK #200194500A · OK #200194500B
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104967900. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$16
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Exact Sciences Corporation | 1 | $16.07 |
By nature of payment
Frequently asked questions
What is Dr. Brooke Nida's medical specialty?
Dr. Brooke Nida practices Pediatrics Physician in Edmond, OK.
Where does Dr. Brooke Nida practice?
Dr. Brooke Nida practices at 1700 S Renaissance Blvd, Edmond, OK 73013. Office phone: 4058444300.
What is Dr. Brooke Nida's NPI?
Dr. Brooke Nida's National Provider Identifier (NPI) is 1104967900, issued by NPPES.