Individual provider Active NPI

Brandon Micheal Bailey, DO

  • Internal Medicine Physician
  • Tulsa, OK
National Provider Identifier
1104181973
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5349 Issued in OK
Practice address
2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone
(918) 935-3240
Fax
(918) 935-3241
NPI assigned
Jul 9, 2012
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5349 OK Primary
Hospitalist Physician 208M00000X 5349 OK

Addresses

Primary practice location

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242

Mailing address

2811 E 15TH St Ste 102
Tulsa, OK 74104-5242
Phone (918) 935-3240

Other practice location 1

6048A S Sheridan Rd
Tulsa, OK 74145
Phone (918) 935-3240

Other practice location 2

1400 E Downing St
Tahlequah, OK 74464-3324
Phone (918) 456-0641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150520000376 OK Practitioner - HospitalistPractitioner - Internal Medicine 1557687027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Oklahoma State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Health Group LLCGroup PAC ID 4082073093, 3 clinicians

Practice addresses (Care Compare)

8131 S Memorial Dr
Suite 100
Tulsa, OK 74133-4348
Phone (918) 200-9944

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
73.46 of 100Reported as group
Quality
55.47
Improvement activities
40
Cost
41.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5349OKMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Health System CurrentSince Jul 1, 2022 Accepting new patients
Northeastern Health System Current Accepting new patients
Northeastern Health System CurrentSince Jul 1, 2022 Accepting new patients
Memorial Health Group LLC CurrentSince Mar 27, 2025 Accepting new patients
Carewell Anesthesia Group PastSince Sep 3, 2025 Accepting new patients
St John Medical Center Inc Past Accepting new patients
Tulsa Procedure Suites LLC PastSince Mar 1, 2024 Accepting new patients

Locations

1400 E Downing St
Tahlequah, OK 74464
Phone (918) 456-0641

8131 S Memorial Dr
Ste 100
Tulsa, OK 74133
Phone (918) 200-9944

Interoperability endpoints

  • Direct secure messaging: brandon.bailey@232286313709572.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/7102/brand/2/csg/1/fhir/r4

Organizations & group practices 7

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 2

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1104181973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 E 15TH ST STE 102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741045242",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6048A S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "74145",
            "country_code": "US",
            "telephone_number": "918-935-3240",
            "fax_number": "918-935-3241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 E Downing St",
            "address_purpose": "LOCATION",
            "city": "Tahlequah",
            "state": "OK",
            "postal_code": "744643324",
            "country_code": "US",
            "telephone_number": "918-456-0641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "BRANDON",
        "middle_name": "MICHEAL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-09",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "5349",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "5349",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.