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DERRICK ADRIAN BRADDICK
NPI 1942456959
Counselor in Tulsa, OK

Active since August 10, 2008PECOS EnrolledAccepts Medicare Assignment
2725 E SKELLY DR, TULSA, OK 74105(918) 407-8847 Get Directions Write a Review

NPPES record last updated: August 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Derrick Adrian Braddick NPPES

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

DERRICK ADRIAN BRADDICK (NPI 1942456959) is an individual counselor in Tulsa, Oklahoma and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1942456959
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameDERRICK ADRIAN BRADDICK
Location Address2725 E SKELLY DRTulsa, OK 74105-6241
Mailing Address8086 S Yale Ave, #236Tulsa, OK 74136-9003 · (918) 407-6426
Phone(918) 407-8847
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 10, 2008
✔ NPI 1942456959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2725 E SKELLY DR, Tulsa, OK 74105
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Other Names 1

Other Name (5)Brad Braddick

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Derrick Adrian Braddick 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 ID7810332715
PECOS Enrollment IDI20240301001672
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.

Other Providers at the Same Location NPPES 20

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

CATHERINE TAYLOR KILBURN
Social Worker
2725 E SKELLY DR, # 202
TULSA, OK 74105
Tulsa County (918) 382-7300
MS. SARAH ANN BELL
Counselor (Mental Health)
2725 E SKELLY DR, SUITE 202
TULSA, OK 74105
Tulsa County (918) 382-7300
RONALD DON ROBERTS
Counselor
2725 E SKELLY DR, 200
TULSA, OK 74105
Tulsa County (918) 592-1622
MS. LINDSEY JO GUFFREY M.A.
Counselor
2725 E SKELLY DR, SUITE 200
TULSA, OK 74105
Tulsa County (918) 592-1622
MRS. BOBBIE JURHEE FIELDS M.ED
Counselor
2725 E SKELLY DR, SUITE 200
TULSA, OK 74105
Tulsa County (918) 592-1622
CARYN LOWREY PACK LADC
Counselor (Addiction (Substance Use Disorder))
2725 E SKELLY DR, SUITE #200
TULSA, OK 74105
Tulsa County (918) 592-1622
LAURIE JEAN ORMEROD
Counselor (Mental Health)
2725 E SKELLY DR, STE 202
TULSA, OK 74105
Tulsa County (918) 382-7300
ERIC C DOTSON BS, M ED
Counselor
2725 E SKELLY DR, SUITE 200
TULSA, OK 74105
Tulsa County (918) 592-1622

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 Derrick Braddick's NPI number?

The NPI number for Derrick Braddick is 1942456959. It was assigned to this individual provider in the NPPES registry on August 10, 2008. The provider is also known as Brad Braddick.

Where is Derrick Braddick located?

Derrick Braddick practices at 2725 E Skelly Dr, Tulsa, OK 74105. The listed phone number is (918) 407-8847.

What is Derrick Braddick's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Derrick Braddick enrolled in Medicare?

Yes. Derrick Braddick 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 Derrick Braddick accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health, Oscar Insurance Company and UnitedHealthcare list Derrick Braddick 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 Derrick Braddick was last updated on August 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.