NPIMap

Individual provider Active NPI

Brady S Hagood, M.D.

  • Surgery Physician
  • Yukon, OK
National Provider Identifier
1003893561
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
21970 Issued in OK
Practice address
1205 Health Center Pkwy
Suite 100
Yukon, OK 73099-6396
Phone
(405) 350-1882
Fax
(405) 350-2039
NPI assigned
Dec 27, 2005
Last updated
Apr 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 21970 OK Primary

Addresses

Primary practice location

1205 Health Center Pkwy
Suite 100
Yukon, OK 73099-6396

Mailing address

PO Box 960259
Oklahoma City, OK 73196-0001
Phone (580) 548-1367

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050618000125 OK Practitioner - General Surgery 0446293211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Oklahoma College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Partners of OklahomaGroup PAC ID 6800015371, 3 clinicians

Practice addresses (Care Compare)

1601 Health Ctr Pkwy
Suite 1000
Yukon, OK 73099-7755
Phone (405) 265-2210

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)40
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Partners of Oklahoma Surgery CurrentSince Aug 1, 2014 Accepting new patients
Community Hospital LLC Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1601 Health Center Pkwy
Ste 1000
Yukon, OK 73099
Phone (405) 265-2210

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northwest Surgical HospitalOklahoma City, OK, CCN 370192 Hospital Corporate Director Feb 25, 2021
Community HospitalOklahoma City, OK, CCN 370203 Hospital Corporate Director Feb 25, 2021

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397606400000",
    "number": "1003893561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960259",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731960001",
            "telephone_number": "580-548-1367",
            "fax_number": "580-548-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 HEALTH CENTER PKWY",
            "address_2": "SUITE 100",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996396",
            "telephone_number": "405-350-1882",
            "fax_number": "405-350-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGOOD",
        "first_name": "BRADY",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2014-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "21970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yukon, OK

Sources for this page

Verify at the official NPI Registry.