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Brad T Brogdon , LPC

Counselor - Professional β€’ Ardmore, OK

Active NPI 1174862320 Individual Practitioner Male Practitioner
Practice location in NPPES

2007 N Commerce St
Ardmore, OK 734011268

Call 5802235636 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2007 N Commerce St

Ardmore, OK 734011268

Telephone 5802235636
Organization at the Same NPPES Address or Phone
Mental Health Services Of Southern Oklahoma Facility NPI 1073509022

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Ardmore and Oklahoma

28 active clinicians are listed under Counselor - Professional with a practice address in Ardmore, OK (2,550 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ardmore

3.6% of these 28 clinicians have the CMS telehealth indicator.

14.3% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-12-20
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES OK 6840
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Ann Baker , MD

Psychiatry & Neurology - Psychiatry

NPI 1801084892

Doctor of Medicine (M.D.)

Master of Science, Licensed Professional Counselor, National Certified Counselor, CMD

Dr. Nancy Wilder-Pierce , DNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1457134694

Doctor of Nursing Practice

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

16 Historical Events
πŸ“
Updated Practice Location December 20, 2024

Registered at 2007 N COMMERCE ST, ARDMORE, OK 734011268 (Tel: 5802235636)

πŸ“
Updated Business Mailing Address December 20, 2024

Registered at 2706 E HARBERT RD, TISHOMINGO, OK 734604035 (Tel: 5803108105)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2024

Counselor (license number reported to NPPES: OK 6840)

πŸ“
Updated Practice Location August 07, 2019

Registered at 610 E 24TH ST, TISHOMINGO, OK 734603245 (Tel: 5803712343)

πŸ‘€
Provider Name / Credentials Updated August 07, 2019

Recorded as BRAD BROGDON, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2019

Counselor

πŸ“
Updated Business Mailing Address October 25, 2018

Registered at RESOURCE MANAGEMENT, 1300 HOPPE BLVD., SUITE 1, ADA, OK 74820 (Tel: 5804367211)

πŸ“
Updated Practice Location February 16, 2018

Registered at HEALTHY LIFESTYLES, 3115 E ARLINGTON BLVD, ADA, OK 74820 (Tel: 5803326345)

πŸ“
Updated Business Mailing Address February 16, 2018

Registered at RESOURCE MANAGEMENT, 210 E MAIN ST, ADA, OK 74820 (Tel: 5804367211)

πŸ‘€
Provider Name / Credentials Updated February 16, 2018

Recorded as BRAD BROGDON, LPC CANDIDATE

βœ…
NPI Profile Active February 07, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 07, 2013

Registered at 1705 CRADDUCK RD, ADA, OK 748209491 (Tel: 5803109000)

πŸ“
Business Mailing Address (Initial Record) February 07, 2013

Registered at 430 WEBB AVE, ADA, OK 748204636

πŸ‘€
Provider Name / Credentials (Initial Record) February 07, 2013

Recorded as BRAD BROGDON

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2013

Rehabilitation Counselor

🟒
Initial NPI Registration & Enumeration February 07, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174862320
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2013
Last Update: December 20, 2024
Sole Proprietor: No

Mailing Address

2706 E Harbert Rd

Tishomingo, OK 734604035

Phone: 5803108105

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.