Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Montana Vincent Brady

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1134962541

Montana Vincent Brady is a Nurse Practitioner in Tulsa, Oklahoma. Qualified in 2024, 2 years ago. Practices with Lighthouse Psychiatry PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Kansas, Missouri and Oklahoma.

Years since qualifying
2
Licensed in
KS, MO, OK
In the registry since
2024
Specialties on file
3

Practice location Address checks out

6304 E 102nd St
Tulsa, OK 74137-7120
Phone: (918) 850-9488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 218275 (OK)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2024021760 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 53-84854-072 (KS)

Record details

NPI number1134962541
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 13, 2024
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Lighthouse Psychiatry Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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