Individual provider Active NPI

Branden Carr, D.O., PHD

  • Psychiatry Physician
  • Tulsa, OK
National Provider Identifier
1316409733
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
7125 Issued in OK
Practice address
9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721
Phone
(405) 378-2727
NPI assigned
Apr 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 7125 OK Primary

Addresses

Primary practice location

9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721

Mailing address

9228 S Mingo Rd Ste 101
Tulsa, OK 74133-5721
Phone (405) 378-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR, NH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20201106000353 OK Practitioner - PsychiatryPractitioner - Addiction Medicine 9436569233 Reassigns benefits to 1 organization
I20231117000015 AR Practitioner - Psychiatry 9436569233 Reassigns benefits to 1 organization
I20231204000287 NH Practitioner - Psychiatry 9436569233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1008 E Uniontown St
Broken Arrow, OK 74012-8286

1500 NW 127TH St
Oklahoma City, OK 73120-5138

2323 S Harvard Ave
Tulsa, OK 74114-3301

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

4901 S Pennsylvania Ave
Oklahoma City, OK 73119-4945

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Springwoods LLC CurrentSince Sep 24, 2023 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 22, 2023 Accepting new patients
Balance Women'S Health, LLC CurrentSince Dec 6, 2024 Accepting new patients
St Joseph Hospital of Nashua NH CurrentSince Nov 22, 2023 Accepting new patients

Locations

1955 W Truckers Dr
Fayetteville, AR 72704
Phone (479) 973-6000

172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926

1105 SW 30th Ct
Moore, OK 73160
Phone (405) 378-4439

9228 S Mingo Rd
Ste 101
Tulsa, OK 74133
Phone (918) 221-0877

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brandencarr@148561.advancedmd-direct.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1316409733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335721",
            "telephone_number": "405-378-2727",
            "fax_number": "405-378-2776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9228 S MINGO RD STE 101",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335721",
            "telephone_number": "405-378-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARR",
        "first_name": "BRANDEN",
        "name_prefix": "Dr.",
        "credential": "D.O., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-03",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OK",
            "license": "7125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.