| Douglas O Brady, PHD | |
|
6601 W Gore Blvd., #6446, Lawton, OK 73505-9998 | |
| (580) 355-7474 | |
| (580) 355-6765 |
| Full Name | Douglas O Brady |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 6601 W Gore Blvd., Lawton, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467660803 | NPI | - | NPPES |
| 731279230001 | Other | OK | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 21363 (Texas) | Secondary |
| 103T00000X | Psychologist | 198 (Oklahoma) | Primary |
| Entity Name | Brady & Brady, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477687614 PECOS PAC ID: 9830351642 Enrollment ID: O20120424000210 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas O Brady, PHD Po Box 6446, Lawton, OK 73506-0446 Ph: (580) 355-7474 | Douglas O Brady, PHD 6601 W Gore Blvd., #6446, Lawton, OK 73505-9998 Ph: (580) 355-7474 |
Miss Elizabeth Ayala, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1719 Sw 11th St, Lawton, OK 73501 Phone: 580-581-1818 | |
Darrell Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Kay Louise Specht, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1817 W Gore Blvd, Lawton, OK 73501 Phone: 580-357-3857 | |
Ashley Hugley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1817 W Gore Blvd, Lawton, OK 73501 Phone: 580-357-3857 Fax: 580-357-3867 | |
Dr. Patricia Brandon, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2406 Nw Redwood Ln, Lawton, OK 73505 Phone: 580-355-2720 Fax: 580-442-7604 | |
Jana Lynch, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 6205 W Gore Blvd, Lawton, OK 73505 Phone: 580-536-3900 Fax: 580-357-8787 | |
Debra Antley, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1501 Sw 69th Street, Lawton, OK 73505 Phone: 580-574-0063 |