DERRICK ADRIAN BRADDICK
NPI 1942456959
Counselor in Tulsa, OK
NPI Status: Active since August 10, 2008
- Individual
- Male
- Years of Experience 12
- Counselor
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DERRICK BRADDICK
This page provides the complete NPI Profile along with additional information for Derrick Braddick, a provider established in Tulsa, Oklahoma with a medical specialization in Counselor and more than 12 years of experience. He graduated from Oral Roberts University School Of Medicine in 2014. The healthcare provider is registered in the NPI registry with number 1942456959 assigned on August 2008. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1942456959
- Provider Name
- DERRICK ADRIAN BRADDICK
- Other Name
- BRAD BRADDICK
- Other Name Type
- Other Name (5)
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2725 E SKELLY DR TULSA, OK 74105
- Location Phone
- (918) 407-8847
- Mailing Address
- 8086 S YALE AVE #236 TULSA, OK 74136
- Mailing Phone
- (918) 407-6426
- Medical School Name
- ORAL ROBERTS UNIVERSITY SCHOOL OF MEDICINE
- Graduation Year
- 2014
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-10-2008
- Last Update Date
- 08-10-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
- Bronze Classic 4700 - PPO
- Bronze Classic Standard - PPO
- Bronze Elite + PCP Saver Plus - PPO
- Gold Classic Standard - PPO
- Secure - PPO
- Silver Classic Standard - PPO
- Silver Elite Saver Plus - PPO
- Silver Simple Breathe Easy with Enhanced COPD Benefits - PPO
- Silver Simple Diabetes - PPO
- Silver Simple PCP Saver - PPO
- TARO Direct Primary Care Bronze 4150 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Gold $0 Ded ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Direct Primary Care Silver 1900 ($0 DPC + $0 PCP + $0 Mental Health) - HMO
- TARO Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze) - HMO
- TARO Standard Gold (No Direct Primary Care, for DPC select DPC Gold) - HMO
- TARO Standard Silver (No Direct Primary Care, for DPC select DPC Silver) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Derrick Braddick is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Derrick Braddick is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 7810332715
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240301001672
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DERRICK ADRIAN BRADDICK
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 4 | 2 | 4 | 5 | 6 | 9 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 8 | 2 | 8 | 5 | 12 | 9 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 8 + 2 + 8 + 5 + 1 + 2 + 9 + 1 + 0 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1942456959 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760686281 | MS. LISA RENEE BULLARD BHRS-CM-CAF Individual | Social Worker | 2725 E SKELLY DR SUITE 202 TULSA, OK 74105 (918) 382-7300 |
| 1215133756 | CARYN LOWREY PACK LADC Individual | Counselor (Addiction (Substance Use Disorder)) | 2725 E SKELLY DR SUITE #200 TULSA, OK 74105 (918) 592-1622 |
| 1346412798 | TODD EUGENE WHETSEL LMFT Individual | Marriage & Family Therapist | 2725 E SKELLY DR 200 TULSA, OK 74105 (918) 756-9411 |
| 1730327586 | MS. TERRA JO STANSELL L.P.C. Individual | Counselor (Mental Health) | 2725 E SKELLY DR TULSA, OK 74105 (918) 382-7300 |
| 1639402894 | CYNTHIA ANNE FUGATT Individual | Counselor (Mental Health) | 2725 E SKELLY DR SW 202 TULSA, OK 74105 (918) 382-7300 |
| 1144558602 | MS. LINDSEY JO GUFFREY M.A. Individual | Counselor | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 592-1622 |
| 1891024188 | TIFFANIE HARRING Individual | Counselor | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 382-7300 |
| 1407186380 | MS. CASSANDREA DAVIDSON Individual | Counselor (Mental Health) | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 592-1622 |
| 1477884245 | DEBORAH ANNE BURKOWSKI PH.D. Individual | Psychologist (Clinical) | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 592-1622 |
| 1134441611 | RONALD DON ROBERTS Individual | Counselor | 2725 E SKELLY DR 200 TULSA, OK 74105 (918) 592-1622 |
| 1487979688 | MRS. STEPHANIE KAY WHITE Individual | Case Management | 2725 E SKELLY DR TULSA, OK 74105 (918) 592-1622 |
| 1316262959 | EMILY TERRELL LPC Individual | Counselor (Professional) | 2725 E SKELLY DR TULSA, OK 74105 (918) 592-1622 |
| 1194036673 | MRS. BOBBIE JURHEE FIELDS M.ED Individual | Counselor | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 592-1622 |
| 1306158209 | ERIC C DOTSON BS, M ED Individual | Counselor | 2725 E SKELLY DR SUITE 200 TULSA, OK 74105 (918) 592-1622 |
| 1689978678 | MRS. DANNELLE IRENE NEWNAM Individual | Counselor | 2725 E SKELLY DR STE 202 TULSA, OK 74105 (918) 592-1622 |
| 1639474737 | TERRANCE FULLER Individual | Counselor | 2725 E SKELLY DR TULSA, OK 74105 (918) 592-1622 |
| 1063710184 | CATHERINE TAYLOR KILBURN Individual | Social Worker | 2725 E SKELLY DR # 202 TULSA, OK 74105 (918) 382-7300 |
| 1619276797 | TIFFANY NICOLE FLEMINGS Individual | Counselor | 2725 E SKELLY DR SUITE 202 TULSA, OK 74105 (918) 382-7300 |
| 1396039129 | MICHAEL CHARLES BUDRECK Individual | Counselor | 2725 E SKELLY DR TULSA, OK 74105 (918) 382-7300 |
| 1366705089 | MR. WESLEY KANE CRENSHAW M.S.W. Individual | Counselor | 2725 E SKELLY DR SUITE NUMBER 202 TULSA, OK 74105 (918) 592-1622 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942456959, enumerated in the NPI registry as an "individual" on August 10, 2008
The provider is located at 2725 E Skelly Dr Tulsa, Ok 74105 and the phone number is (918) 407-8847
The provider's speciality is Counselor with taxonomy code 101Y00000X
The provider has more than 12 years of experience. He graduated from Oral Roberts University School Of Medicine in 2014.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Oscar. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on August 10, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.