H Brad B Manuel
Individual provider Active NPI Community/Behavioral Health Agency · Tulsa, OK
NPI 1134558281 · NPPES record last updated Aug 15, 2014
Key facts
- NPI
- 1134558281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 557 N Denver
Tulsa, OK 74127-5645 - Phone
- (918) 455-1071
- NPI assigned
- Nov 8, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
557 N Denver
Tulsa, OK 74127-5645
Mailing address
P. O. Box 7
Tulsa, OK 74127-5645
NPI Registry JSON
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1134558281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P. O. BOX 7",
"city": "TULSA",
"state": "OK",
"postal_code": "741275645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 N DENVER",
"city": "TULSA",
"state": "OK",
"postal_code": "741275645",
"telephone_number": "918-455-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANUEL",
"first_name": "H BRAD",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-11-08",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
- James Mansfield
- Zaeemah Mansoor
- Nicolas Mantilla
- Manual Therapy Inc.
- Dale Manuel
- Jerry Lee Manus
- Yevgeniya Manziuk
- Rui Mao
- Jennifer Maple
- Wesley Keith Maples
All providers in Tulsa, OK · Community/Behavioral Health Agency 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 15, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.