BRAYDERIK CONSULTING
NPI 1235677121
Podiatrist - Primary Podiatric Medicine in Tahlequah, OK

Active since February 10, 2017
1607 S MUSKOGEE AVE STE C, TAHLEQUAH, OK 74464(918) 931-7232 Get Directions Write a Review

NPPES record last updated: June 24, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 24, 2021, Jul 31, 2017, Jul 25, 2017 and 1 more (4 updates tracked since 2017).

About Brayderik Consulting NPPES

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

BRAYDERIK CONSULTING (NPI 1235677121) is a healthcare organization registered as a primary podiatric medicine in Tahlequah, Oklahoma and active in the NPI registry since February 2017. The organization lists Paula J Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235677121
Entity TypeOrganization
Primary Taxonomy213EP1101X
Legal Business NameBRAYDERIK CONSULTING
Location Address1607 S MUSKOGEE AVE STE CTahlequah, OK 74464-5440
Mailing Address807 W Downing StTahlequah, OK 74464-2719 · (918) 931-7232
Organization SubpartNo
Authorized OfficialPaula J YoungCeo · (918) 931-7232
Enumeration DateFebruary 10, 2017
Last NPPES UpdateJune 24, 20214 updates tracked since enumeration
NPPES CertifiedJune 24, 2021
✔ NPI 1235677121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
Also ListedGeneral PracticeTaxonomy 208D00000X
1607 S MUSKOGEE AVE STE C, Tahlequah, OK 74464

Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brayderik Consulting is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Brayderik Consulting, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1679273130
1607 S MUSKOGEE AVE STE C
Tahlequah, OK 74464
(918) 772-5456
✔ PECOSSame address
Nurse Practitioner
NPI 1174264733
205 HARRIS CIR STE 102
Tahlequah, OK 74464
(918) 458-2487
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1356532022
26251 HWY 82 SUITE 1
Park Hill, OK 74441
(918) 207-0667
✔ PECOS7.1 mi
Nurse Practitioner
NPI 1730544305
1328 S YORK ST
Muskogee, OK 74403
(918) 683-0470
✔ PECOS23 mi
Family Practice
NPI 1104861616
3900 W BROADWAY ST
Muskogee, OK 74401
(918) 682-8612
✔ PECOS26 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brayderik Consulting's NPI number?

The NPI number for Brayderik Consulting is 1235677121. It was assigned to this organization in the NPPES registry on February 10, 2017.

Where is Brayderik Consulting located?

Brayderik Consulting is located at 1607 S Muskogee Ave Ste C, Tahlequah, OK 74464. The listed phone number is (918) 931-7232.

What is Brayderik Consulting's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Brayderik Consulting enrolled in Medicare?

Yes. Brayderik Consulting is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brayderik Consulting?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Brayderik Consulting. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brayderik Consulting was last updated on June 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.