Brady's Youth and Development Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BRADY'S YOUTH AND DEVELOPMENT CENTER

Practice address

169 Park Fairfax Dr
Charlotte, NC 28208-4442

Phone

(704) 497-8902

NPI assigned

Feb 11, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Johnny Brady

Title

Ceo

Phone

(704) 497-8902

Specialties & licenses 1

Addresses

Tax ID family

Brady's Youth and Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brady's Youth & Development Center

  • Community/Behavioral Health Agency
  • Columbia, SC
  • NPI 1043608250
  NPD tax ID

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1053702100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PARK FAIRFAX DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084442",
            "telephone_number": "704-497-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PARK FAIRFAX DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084442",
            "telephone_number": "704-497-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY'S YOUTH AND DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-497-8902"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Lynn Brady, PT
• Raluca Maria Brady, LMFT
• Rohen Brady
• Teresa Bennett Brady, MS, CGC
• Tyler John Brady, PT
• Krystal Brafford
• Hannelore Knolke Bragg, MS SSP
• Karen Bragg, DSLP
• Brailsford Regional Homecare Services LLC
• Brailsford Transport Services LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.