Derrick Adrian Braddick
Derrick Adrian Braddick is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2014, 12 years ago. Practices with Omni Medical Group Inc, a 82-clinician group and accepts Medicare assignment.
- Years since qualifying
- 12
- In the registry since
- 2008
Practice location Address checks out
2725 E Skelly DrTulsa, OK 74105-6241
Phone: (918) 407-8847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1942456959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 10, 2008 |
| Last updated in NPPES | August 10, 2008 |
| Mailing address | 8086 S Yale Ave, 236, Tulsa, OK 74136-9003 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2014 (12 years in practice) |
| Group practice | Omni Medical Group Inc — 82 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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