Bret A Hubbard, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

3627 Issued in OK

Practice address

607 S Broadway
Coweta, OK 74429-5000

Phone

(918) 486-5564

Fax

(918) 486-3284

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prophylaxis Healthcare LLCGroup PAC ID 3072784289, 26 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Prophylaxis Healthcare LLC

  • Multi-Specialty Clinic/Center
  • Bixby, OK
  • NPI 1538453923

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Prophylaxis Healthcare LLC

  • Community/Behavioral Health Agency
  • Bixby, OK
  • NPI 1285438317
  NPD
• Sjmgroup

  • Endocrinology, Diabetes & Metabolism Physician
  • Englewood, CO
  • NPI 1376590034
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1124189469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564",
            "fax_number": "918-486-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564",
            "fax_number": "918-486-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "BRET",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trenton Hill
• Hilldale Nursing Facility, Inc.
• Home Sweet Home Care Inc
• Home Sweet Home Hospice Inc
• Home Sweet Home Nursing Care Inc
• Alyssa Hudgins, APRN
• Integris Rehab LLC
• Radu Alexandru Jifcu, DMD
• Gregory Wade Johnson, D.D.S
• Stacey L Jones

• Family Medicine Physician in Coweta, OK
• Providers in Coweta, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.