Douglas O Brady, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

198 Issued in OK

Practice address

6601 W Gore Blvd.
#6446
Lawton, OK 73505-9998

Phone

(580) 355-7474

Fax

(580) 355-6765

NPI assigned

May 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1467660803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6446",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735060446",
            "telephone_number": "580-355-7474",
            "fax_number": "580-355-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 W GORE BLVD.",
            "address_2": "#6446",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735059998",
            "telephone_number": "580-355-7474",
            "fax_number": "580-355-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DOUGLAS",
        "middle_name": "O",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2022-05-13",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "21363",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "731279230001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Boyer, MD
• Clayton Boykin, DO
• David Criswell Bracher, RN
• Chiquita Bradford, LPN
• Thomas L Bradshaw, DO
• Sharon Smith Brady, PH.D.
• Chelsea Brag
• Amy M Braly, BS
• Brandon K Ross OD PC
• Patricia Brandon, PH.D.

• Psychologist in Lawton, OK
• Providers in Lawton, OK by specialty
• Psychologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.