Organization Active NPI

P Brady Farr DMD PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Gadsden, AL
National Provider Identifier
1154490266
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2850 Issued in AL
Legal business name
P BRADY FARR DMD PA
Practice address
817 A Riverbend Drive
Gadsden, AL 35901-2556
Phone
(256) 543-3303
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. P Brady Farr, DMD
Title
President
Phone
(256) 543-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2850 AL Primary

Addresses

Primary practice location

817 A Riverbend Drive
Gadsden, AL 35901-2556

Mailing address

817 A Riverbend Drive
Gadsden, AL 35901-2556
Phone (256) 543-3303

Other identifiers 2

IdentifierTypeStateIssuer
51092086OtherALBLUECROSS BLUESHIELD
180670OtherPAUNITED CONCORDIA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154490266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 A RIVERBEND DRIVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-543-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 A RIVERBEND DRIVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359012556",
            "telephone_number": "256-543-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P BRADY FARR DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARR",
        "authorized_official_first_name": "P",
        "authorized_official_middle_name": "BRADY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-543-3303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AL",
            "license": "2850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "51092086",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "180670",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

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.

Verify at the official NPI Registry.