Neadum Brett Odum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3655 Issued in OK

Practice address

15100 Traditions Blvd
Suite 1
Edmond, OK 73013-1184

Phone

(405) 509-6483

Fax

(405) 513-6428

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

No

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

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Odum Chiropractic Clinic PLLC

  • Chiropractor
  • Oklahoma City, OK
  • NPI 1346349255
  Medicare reassignment NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1225096043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15100 TRADITIONS BLVD",
            "address_2": "SUITE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131184",
            "telephone_number": "405-509-6483",
            "fax_number": "405-513-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15100 TRADITIONS BLVD",
            "address_2": "SUITE 1",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131184",
            "telephone_number": "405-509-6483",
            "fax_number": "405-513-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODUM",
        "first_name": "NEADUM",
        "middle_name": "BRETT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oculoplastic Surgeons of Oklahoma, PLLC
• Alexandra Odell, CCC-SLP
• Aseel Odetalla
• Dana Odetalla
• Lena Bassam Odetalla
• Adebowale Folorunso Odusote
• David Ogden
• Madelyn Ogle, MA CCC-SLP
• Jonathan Oglesby, BHRS
• Landre Tatum Oglesby, ATC

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.