Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeremiah Bro, APRN-CNP

Individual provider Family Nurse Practitioner · NPI 1104337781

Jeremiah Bro, APRN-CNP is a Nurse Practitioner in Stillwater, Oklahoma. Qualified in 2017, 9 years ago. Practices with Stillwater Medical Center Authority, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Licensed in
OK
In the registry since
2017

Practice location Address checks out

1301 W 6th Ave Ste 207
Stillwater, OK 74074-4381
Phone: (405) 533-3010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 113011 (OK)

Record details

NPI number1104337781
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN-CNP
Sole proprietorYes
NPI enumeratedOctober 23, 2017
Last updated in NPPESOctober 23, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Stillwater Medical Center Authority — 168 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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