BRADY W IBA (DO) – Psychiatry Physician, NPI 1043894132
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
363 PSYCHIATRY in OK
Provider Addresses for BRADY W IBA (DO)
1000 S DENVER AVE APT 1203
TULSA, OK 741191411
Phone: (817) 705-9625
Type: Mailing
3024 WIND CALL LN
EDMOND, OK 730340826
Phone: (817) 705-9625
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $251.
Total Amount is formed as General ($251) + Research ($0) + Ownership ($0) = $251.
Last reported payment date: 2024-04-30 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($157).
Total Amount
$251
General + Research + Ownership
Payments
4
Total payment records
General Amount
$251
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $157 |
| Teva Pharmaceuticals USA, Inc. | $94 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240507002825 | I | Psychiatry | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74119)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Nurse Practitioner | OK | |
| P S Y C H I A T R Y | OK | |
| Nurse Practitioner | IA | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK | |
| Mental Health Counselor | OK | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | OK | |
| Mental Health Counselor | OK |
Reviews
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