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Deactivated NPI 1356569719 Deactivated / Inactive NPI Male Practitioner

Dr. Fred Booth Bramble , PhD

Psychologist - Clinical • Tulsa, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Fred Bramble has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date August 13, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Fred Bramble, PhD was a registered Psychologist - Clinical practicing in Tulsa, OK. Throughout an active medical career spanning 14 years, Dr. Bramble provided care at the practice location at 2121 S COLUMBIA AVE until profile deactivation on 2021-08-13.

Practice Location & Contact Primary Location

Practice Address

2121 S Columbia Ave
Suite 410

Tulsa, OK 741143505

Telephone 9187499897
Fax 9187499962
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Tulsa, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.5 Yrs
State Avg: 26.8 Yrs
Regional Practice Density
77 Specialists

Practicing in Tulsa, OK (284 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OK 170

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Barbara Bramble , LCSW, LMFT

Social Worker - Clinical

NPI 1871711242

Licensed Clinical Social Worker, Licensed Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 13, 2021

Record deactivated on August 13, 2021

NPI Profile Active June 17, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 17, 2008

Registered at 2121 S COLUMBIA AVE, SUITE 410, TULSA, OK 741143505 (Tel: 9187499897)

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Updated Business Mailing Address June 17, 2008

Registered at 2121 S COLUMBIA AVE, SUITE 410, TULSA, OK 741143505 (Tel: 9187499897)

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Provider Name / Credentials Updated June 17, 2008

Recorded as FRED BRAMBLE, PH.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2008

Psychologist (License #170 in OK)

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Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356569719
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: June 17, 2008
Deactivation Date: August 13, 2021

Mailing Address

2121 S Columbia Ave, Suite 410

Tulsa, OK 741143505

Phone: 9187499897

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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