Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derrick Adrian Braddick

Individual provider Counselor · NPI 1942456959

Derrick Adrian Braddick is a Mental Health Counselor in Tulsa, Oklahoma. Qualified in 2014, 12 years ago. Practices with Omni Medical Group Inc, a 82-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2008

Practice location Address checks out

2725 E Skelly Dr
Tulsa, OK 74105-6241
Phone: (918) 407-8847
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1942456959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 10, 2008
Last updated in NPPESAugust 10, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Omni Medical Group Inc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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