MEDICARE: BROOKE N. MCQUEEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	33618	OK
2	2084E0001X	Epilepsy Physician	33618	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8FP159	OTHER	TX	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1932429354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BROOKE N. MCQUEEN M.D.

Provider Business Mailing Address
First Line	:	3 MARYLAND FARMS STE 200
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-5780
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	888-203-4247

Provider Business Practice Location Address
First Line	:	1830 E 43RD ST
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-4210
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	888-203-4247

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	01/07/2026

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Directions to “ BROOKE N. MCQUEEN M.D.” Practice Location

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