DOUGLAS O BRADY (PH.D.) – Psychologist, NPI 1467660803

DOUGLAS O BRADY (PH.D.) is a healthcare provider. based in Lawton, Oklahoma. specializing in Psychologist. They hold the professional credentials PH.D.. They hold a License No. 21363 (TX). The NPI Number for DOUGLAS O BRADY (PH.D.) is 1467660803

Main info

Male
Sole Proprietor
51 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS O BRADY (PH.D.)
NPI
1467660803
Phone
(580) 355-7474
Address
1401 SW PARKRIDGE BLVD
Enumeration Date
18 May 2007
Last Update Date
13 May 2022

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1975 (51 years ago)
PAC ID
7911169776
Professional Enrollment ID
I20120424000689
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

Provider Addresses for DOUGLAS O BRADY (PH.D.)

  • 1401 SW PARKRIDGE BLVD

    STE D

    LAWTON, OK 735059200

    Phone: (580) 355-7474

    Fax: (580) 355-6765

    Type: Mailing

  • PO BOX 6446

    LAWTON, OK 735060446

    Phone: (580) 355-7474

    Fax: (580) 355-6765

    Type: Mailing

  • 6601 W GORE BLVD.

    #6446

    LAWTON, OK 735059998

    Phone: (580) 355-7474

    Fax: (580) 355-6765

    Type: Location

  • 503, Northwest Sheridan Road, Lawton, Comanche County, Oklahoma, 73505, United States

    SUITE A

    LAWTON, OK 735056521

    Phone: (580) 355-7474

    Fax: (580) 355-6765

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-04-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120424000689IClinical PsychologistOKTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour22734$0
90834Psychotherapy, 45 minutes3514$0
View full utilization report →

Insurance plans in this area (ZIP 73505)

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Reviews

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Frequently asked questions

What number should I use to identify DOUGLAS O BRADY (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1467660803 for DOUGLAS O BRADY (PH.D.).
Is DOUGLAS O BRADY (PH.D.)'s NPI status active today?
Active status means DOUGLAS O BRADY (PH.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits DOUGLAS O BRADY (PH.D.)?
NPPES ties DOUGLAS O BRADY (PH.D.) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to DOUGLAS O BRADY (PH.D.)?
DOUGLAS O BRADY (PH.D.) shows a connection to Lawton, Oklahoma in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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