Active NPI
Bradtech Medical
- Durable Medical Equipment & Medical Supplies
- Dallas, TX
National Provider Identifier
1124221197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- BRADTECH MEDICAL
- Practice address
- 628 Tenna Loma CT
Dallas, TX 75208-3133 - Phone
- (214) 707-4004
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Braddick
- Title
- Ceo
- Phone
- (214) 707-4004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
628 Tenna Loma CT
Dallas, TX 75208-3133
Mailing address
628 Tenna Loma CT
Dallas, TX 75208-3133
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124221197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 TENNA LOMA CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752083133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 TENNA LOMA CT",
"city": "DALLAS",
"state": "TX",
"postal_code": "752083133",
"telephone_number": "214-707-4004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRADTECH MEDICAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRADDICK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "214-707-4004"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.