Paul Braddy

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2802 W C St
Torrington, WY 82240-1834

Phone

(307) 532-0134

NPI assigned

Oct 20, 2022

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Number 34

  • Case Management Agency
  • Torrington, WY
  • NPI 1124473376
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2022.

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1043937147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 W C ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401834",
            "telephone_number": "307-532-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 W C ST",
            "city": "TORRINGTON",
            "state": "WY",
            "postal_code": "822401834",
            "telephone_number": "307-532-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDY",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Elaine Bilstein, MA
• Brandi Bingham
• Nancy J Blevins, BA
• Robin Boyd
• Benjamin Paul Braddy
• Brant Audiology, LLC
• Maria L Briggs
• Brianna Brooks
• Amanda Brown, MA
• Nikita Rene' Buchanan

• All providers in Torrington, WY
• Case Manager/Care Coordinator in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.