Individual provider Active NPI

Brad Monroe Hayes, D.C.

  • Sports Physician Chiropractor
  • Tulsa, OK
National Provider Identifier
1467480822
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1806 Issued in OK
Practice address
6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311
Phone
(918) 492-0087
Fax
(918) 496-0952
NPI assigned
Jun 28, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1806 OK Primary
Orthopedic Chiropractor 111NX0800X 1806 OK

Addresses

Primary practice location

6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311

Mailing address

6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3311
Phone (918) 492-0087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000070 OK Practitioner - Chiropractic 7113188947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Doctors IncGroup PAC ID 5698936573, 2 clinicians

Practice addresses (Care Compare)

6717 S Yale Ave
Suite 110
Tulsa, OK 74136-3318
Phone (918) 492-0087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1806OKMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Doctors Inc Orthopedic CurrentSince Mar 13, 2012 Accepting new patients

Locations

6717 S Yale Ave
Ste 110
Tulsa, OK 74136
Phone (918) 492-0087

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1467480822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363311",
            "telephone_number": "918-492-0087",
            "fax_number": "918-496-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6717 S YALE AVE",
            "address_2": "SUITE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363311",
            "telephone_number": "918-492-0087",
            "fax_number": "918-496-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "BRAD",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OK",
            "license": "1806",
            "primary": true
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "OK",
            "license": "1806",
            "primary": false
        }
    ],
    "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 Jan 11, 2012; 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.