Individual provider Active NPI

Bret Rice Haymore, MD

  • Allergy & Immunology Physician
  • Broken Arrow, OK
National Provider Identifier
1376503102
Registry record updated Sep 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28286 Issued in OK
Practice address
4716 W Urbana St
Suite 211
Broken Arrow, OK 74012-5997
Phone
(918) 994-5200
Fax
(918) 994-5222
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 28286 OK Primary

Addresses

Primary practice location

4716 W Urbana St
Suite 211
Broken Arrow, OK 74012-5997

Mailing address

8121 National Ave
Ste 309
Midwest City, OK 73110-7572
Phone (405) 628-3666

Other identifiers 1

IdentifierTypeStateIssuer
200424280AMedicaidOK

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111116000408 OK Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 9335338771 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oklahoma Allergy and Asthma ClinicGroup PAC ID 5294710927, 12 clinicians

Practice addresses (Care Compare)

750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone 4052350040315

Hospital & facility affiliations

  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013

Merit-based Incentive Payment System (MIPS)

Final score
70.52 of 100Reported as individual
Quality
52.81
Improvement activities
40
Cost
64.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28286OKMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Passport Health of Oklahoma Current Accepting new patients
Hospital Care Consultants Region II Inc CurrentSince Apr 1, 2012 Accepting new patients
Oklahoma Allergy & Asthma Clinic CurrentSince Jan 1, 2016 Accepting new patients
HCC Duncan Inc CurrentSince Apr 1, 2012 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1407 N Whisenant Dr
Duncan, OK 73533
Phone (580) 251-8458

3560 S Boulevard
Ste 150
Edmond, OK 73013

1801 W 3rd St
Elk City, OK 73644
Phone 5802255403677

750 NE 13th St
Ste 300
Oklahoma City, OK 73104

8121 National Ave
Ste 309
Oklahoma City, OK 73110
Phone (405) 732-3990

750 NE 13th St
Oklahoma City, OK 73104
Phone (405) 235-0040

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186
  • Direct secure messaging: bret.haymore@oklahomaallergy.directbygreenway.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474502400000",
    "number": "1376503102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "STE 309",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107572",
            "telephone_number": "405-628-3666",
            "fax_number": "405-272-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4716 W URBANA ST",
            "address_2": "SUITE 211",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125997",
            "telephone_number": "918-994-5200",
            "fax_number": "918-994-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMORE",
        "first_name": "BRET",
        "middle_name": "RICE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2016-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OK",
            "license": "28286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200424280A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.