MONTANA VINCENT BRADY
NPI 1134962541
Nurse Practitioner - Psychiatric/Mental Health in Tulsa, OK

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment
6304 E 102ND ST, TULSA, OK 74137(918) 850-9488 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 13, 2025, Jun 13, 2024 (2 updates tracked since 2024).

About Montana Vincent Brady NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTANA VINCENT BRADY (NPI 1134962541) is an individual psychiatric/mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (218275) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134962541
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMONTANA VINCENT BRADY
Location Address6304 E 102ND STTulsa, OK 74137-7120
Mailing Address4572 Venice AveOzark, MO 65721-8053 · (816) 516-1944
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 13, 2024
Last NPPES UpdateNovember 13, 20252 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1134962541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in OK · 218275✔ Licensed in MO · 2024021760✔ Licensed in KS · 53-84854-072
6304 E 102ND ST, Tulsa, OK 74137

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Montana Vincent Brady is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002391653
PECOS Enrollment IDI20260331004319
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
6304 E 102ND ST
TULSA, OK 74137
Nurse Practitioner (Family)
6304 E 102ND ST
TULSA, OK 74137
Nurse Practitioner (Family)
6304 E 102ND ST
TULSA, OK 74137
Surgery
6304 E 102ND ST
TULSA, OK 74137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Brady's NPI number?

The NPI number for Montana Brady is 1134962541. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Where is Montana Brady located?

Montana Brady practices at 6304 E 102nd St, Tulsa, OK 74137. The listed phone number is (918) 850-9488.

What is Montana Brady's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Montana Brady enrolled in Medicare?

Yes. Montana Brady is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Montana Brady accept?

Health plans from Mending Health and UnitedHealthcare list Montana Brady as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Brady was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.