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BROOKE CRIDDLE LIGHT MD
NPI 1598405714
Pediatrics - Pediatric Critical Care Medicine in Oklahoma City, OK

Active since March 29, 2022PECOS Enrolled
1200 CHILDRENS AVE, OKLAHOMA CITY, OK 73104(405) 271-5437 Get Directions Write a Review

NPPES record last updated: May 15, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: May 15, 2025, Jul 8, 2024, Jul 7, 2022 (3 updates tracked since 2022).

About Brooke Criddle Light Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROOKE CRIDDLE LIGHT MD (NPI 1598405714) is an individual pediatric critical care medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (45399) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1598405714
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameBROOKE CRIDDLE LIGHTCredential: MD
Location Address1200 CHILDRENS AVEOklahoma City, OK 73104-4637
Mailing Address1200 Childrens AveOklahoma City, OK 73104-4637 · (405) 271-5437
Phone(405) 271-5437
Sole ProprietorYes
Enumeration DateMarch 29, 2022
Last NPPES UpdateMay 15, 20253 updates tracked since enumeration
NPPES CertifiedMay 15, 2025
✔ NPI 1598405714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in OK · 45399
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License LL88189 (SC), 45399 (OK)
1200 CHILDRENS AVE, Oklahoma City, OK 73104
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Secondary Practice Location 1

Location 1701 Grove RdGreenville, SC 29605-4210 · Phone (864) 455-7895

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brooke Criddle Light Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRUTI SHAH
Student in an Organized Health Care Education/Training Program
1200 CHILDRENS AVE, SUITE 4D
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-8001
MRS. RACHEL LEIGH CROSS APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
1200 CHILDRENS AVE, SUITE 10000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4412
KAYLEE MARTIN
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5437
KRISTEN PUENTE RD, LD
Dietitian, Registered
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700
ROA MUQBEL
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. CLAIRE ELIZABETH KUNKEL SMITH DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
JAY OGLE DO
Pediatrics
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
BLAYNE BORDWINE
Pediatrics (Hospice and Palliative Medicine)
1200 CHILDRENS AVE
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brooke Light's NPI number?

The NPI number for Brooke Light is 1598405714. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Brooke Light located?

Brooke Light practices at 1200 Childrens Ave, Oklahoma City, OK 73104. The listed phone number is (405) 271-5437.

What is Brooke Light's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Brooke Light enrolled in Medicare?

Yes. Brooke Light is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brooke Light was last updated on May 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.