Active NPI
Brady L Vincent, DO
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1316431554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 6793
- Practice address
- 2448 E 81St St Ste 3700
Tulsa, OK 74137-4257 - Phone
- (918) 695-0669
- Fax
- (918) 561-8428
- NPI assigned
- Jun 20, 2018
- Last updated
- May 21, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Psychiatry Physician | 2084P0800X | 6793 | OK | Primary |
Addresses
Primary practice location
2448 E 81St St Ste 3700
Tulsa, OK 74137-4257
Mailing address
2448 E 81St St Ste 3700
Tulsa, OK 74137-4257
Phone (918) 695-0669
Other practice location 1
2323 S Harvard Ave
Tulsa, OK 74114-3301
Phone (918) 293-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Oklahoma | Past | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Woodward, OK
- NPI 1750456588
-
dba Northwest Center for Behavioral Health
- Psychiatric Hospital
- Fort Supply, OK
- NPI 1922171701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1316431554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 3700",
"city": "TULSA",
"state": "OK",
"postal_code": "741374257",
"telephone_number": "918-695-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2448 E 81ST ST STE 3700",
"city": "TULSA",
"state": "OK",
"postal_code": "741374257",
"telephone_number": "918-695-0669",
"fax_number": "918-561-8428"
}
],
"practiceLocations": [
{
"address_1": "2323 S Harvard Ave",
"address_purpose": "LOCATION",
"city": "Tulsa",
"state": "OK",
"postal_code": "741143301",
"country_code": "US",
"telephone_number": "918-293-2140",
"fax_number": "918-293-2195",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VINCENT",
"first_name": "BRADY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-20",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "6793",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.