Brady Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8337 Issued in TX

Legal business name

BRADY CHIROPRACTIC

Practice address

454 Forest Square
Longview, TX 75605

Phone

(903) 757-6162

Fax

(903) 757-7722

NPI assigned

May 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Charles Brady, D.C.NPI 1780763862

Title

Owner

Phone

(903) 757-6162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Brady, D.C.

  • Chiropractor
  • Longview, TX
  • NPI 1780763862
  NPD (past) Authorized official

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174735229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 FOREST SQUARE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-757-6162",
            "fax_number": "903-757-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 FOREST SQUARE",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "75605",
            "telephone_number": "903-757-6162",
            "fax_number": "903-757-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-757-6162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Boynton, FNP, CNM
• Sara Rose Bradham, DDS
• Lauren Bradley, LPC, CD(DONA)
• Pamela Annette Bradley, APRN, PMHNP-BC
• Paul R Bradley, MD
• Jeffrey Brady, D.C.
• Roy Brady, LCSW
• Brannon'S Friends LLC
• Stacy Nicole Bratcher, FNP-C
• Ju'Lea Bravo-Geche, RBT

• Chiropractor in Longview, TX
• Providers in Longview, TX by specialty
• Chiropractor in Texas

• 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.