Granville York Brady Jr., AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

41YB00000200 Issued in NJ

Practice address

10 Auer CT Ste C
East Brunswick, NJ 08816

Phone

(327) 387-2395

Fax

(327) 387-2394

NPI assigned

Apr 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Granville Y Brady Jr Aud PA

  • Audiologist
  • East Brunswick, NJ
  • NPI 1548338254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1154387645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165848",
            "telephone_number": "327-387-2395",
            "fax_number": "327-387-2394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AUER CT STE C",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "08816",
            "telephone_number": "327-387-2395",
            "fax_number": "327-387-2394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "GRANVILLE",
        "middle_name": "YORK",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "YB00002",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NJ",
            "license": "YB00002",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NJ",
            "license": "41YB00000200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0051233",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yolanda A. Boyd
• Elena G Boyle, LPC, LCADC
• Mark Anthony Brabston Sr., DDS
• Aja Bradley
• Carol Brady, BC-HIS
• Brain and Spine Institute of Ny and NJ
• Mark Paul Bramwit, MD
• Adam Keith Brandeberry, M.D.
• Charles Jay Brandwein, MD
• Howard Edward Brauer, MD

• Audiologist in East Brunswick, NJ
• Providers in East Brunswick, NJ by specialty
• Audiologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.