Brandon Micheal Bailey, DO
Individual provider Active NPI Internal Medicine Physician · Tulsa, OK
NPI 1104181973 · NPPES record last updated Aug 2, 2023
Key facts
- NPI
- 1104181973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 5349 (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
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
8131 S Memorial Dr
Suite 100
Tulsa, OK 74133-4348
Phone (918) 200-9944
Hospital & facility affiliations
- Ascension St John Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.91 of 100
- Quality
- 76.55
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.46 of 100
- Quality
- 55.47
- Improvement activities
- 40
- Cost
- 41.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150520000376 | OK | Practitioner - Hospitalist |
1557687027 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5349 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeastern Health System | Current | Accepting new patients | |
| Northeastern Health System | Current |
Accepting new patients | |
| Memorial Health Group LLC | Current |
Accepting new patients | |
| Northeastern Health System | Current |
Accepting new patients | |
| St John Medical Center Inc | Past | Accepting new patients | |
| Tulsa Procedure Suites LLC | Past |
Accepting new patients | |
| Carewell Anesthesia Group | Past |
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
- https://api.platform.athenahealth.com/7102/brand/2/csg/1/fhir/r4
- brandon.bailey@232286313709572.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 5349 | OK | |
| Internal Medicine Physician | 207R00000X | 5349 | OK | Yes |
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
Other providers in Tulsa, OK
- Arrica Denise Bailey
- Ayako C Bailey
- Bertabitha Mauricia Joan Bailey
- Bertheophilus Maurice Bailey Sr.
- Brandon Bailey
- De'Von A Bailey
- Donneth M Bailey
- Dustin E Bailey
- Jaime Lakesh Bailey
- James K Bailey
All providers in Tulsa, OK · Internal Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.