BROOKHAVEN HOSPITAL, LLC – Psychiatric Hospital, NPI 1023064300

BROOKHAVEN HOSPITAL, LLC is a healthcare provider. based in Tulsa, Oklahoma. specializing in Psychiatric Hospital. The organization holds a License No. 2313 (OK). The NPI Number for BROOKHAVEN HOSPITAL, LLC is 1023064300

Main info

Organization
Name
BROOKHAVEN HOSPITAL, LLC
NPI
1023064300
Phone
(918) 438-4257
Address
201 S GARNETT RD
Authorized Official
KENNETH NOEL PIERCE CFO
Enumeration Date
26 May 2006
Last Update Date
13 September 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BROOKHAVEN HOSPITAL, LLC

  • South Garnett Road, Tulsa, Tulsa County, Oklahoma, 74146, United States

    TULSA, OK 741281805

    Phone: (918) 438-4257

    Fax: (918) 438-0083

    Mailing address matches the actual address.

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: 2009-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-05-31 (6 days ago).

Enrollment records

2

Earliest due date

2026-05-31

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
O20070620000421OClinic/Group PracticeOK2026-05-31
O20090812000890OHospitalOKTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 74128)

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Reviews

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Frequently asked questions

How is BROOKHAVEN HOSPITAL, LLC identified in CMS data?
CMS-hosted NPPES data lists BROOKHAVEN HOSPITAL, LLC with NPI 1023064300.
Is BROOKHAVEN HOSPITAL, LLC listed as active for patients and plans?
The listing shows BROOKHAVEN HOSPITAL, LLC as active in the NPI system.
What taxonomy line describes BROOKHAVEN HOSPITAL, LLC?
For research purposes, treat BROOKHAVEN HOSPITAL, LLC as Psychiatric Hospital in this dataset. Clinical services aligned with this taxonomy classification.
What area does BROOKHAVEN HOSPITAL, LLC serve?
BROOKHAVEN HOSPITAL, LLC's listing highlights Tulsa, Oklahoma; more addresses can appear in NPPES.
Why does BROOKHAVEN HOSPITAL, LLC have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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