Brady Lyles

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

A0001005 Issued in MD

Practice address

1000 Potomac St NW Ste 106
Washington, DC 20007-3599

Phone

(301) 885-7746

NPI assigned

Jan 27, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1003273699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 MOHICAN DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-885-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 POTOMAC ST NW STE 106",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200073599",
            "telephone_number": "301-885-7746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Quay St",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265054828",
            "country_code": "US",
            "telephone_number": "301-885-7746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLES",
        "first_name": "BRADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A0001005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George A Lyght, PHARMD
• Kristina Lyhus
• Oliva Mariki Lyimo
• Leisa Lyles-Deleon, AU.D.
• Andrea N Lyles, HHA
• Derrick Lyles
• Donald Eugene Lyles
• Isaiah Fletcher Lyles, HOME HEALTH AIDE
• Larry G Lyles, DDS
• Latasha Mae Lyles

• Athletic Trainer in Washington, DC
• Providers in Washington, DC by specialty
• Athletic Trainer in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.