Active NPI
Bret Rice Haymore, MD
- Allergy & Immunology Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 28286
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200424280A | Medicaid | OK |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Pennsylvania State University College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 NE 13TH St
Oklahoma City, OK 73104-5010
Phone 4052350040315
Hospital & facility affiliations
- Mercy Hospital Oklahoma City, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 70.52 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 28286 | OK | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Passport Health of Oklahoma | Current | Accepting new patients | |
| Hospital Care Consultants Region II Inc | Current | Accepting new patients | |
| Oklahoma Allergy & Asthma Clinic | Current | Accepting new patients | |
| HCC Duncan Inc | Current | 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
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71186
- 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.
-
- Specialist
- Oklahoma City, OK
- NPI 1861599094
-
- Hospitalist Physician
- Duncan, OK
- NPI 1013153543
-
- Internal Medicine Physician
- West Memphis, AR
- NPI 1558491449
OK
-
- Community Health Clinic/Center
- Oklahoma City, OK
- NPI 1861868259
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.