Organization Active NPI

Brady Medical Group PLLC

  • Multi-Specialty Clinic/Center
  • McKinney, TX
National Provider Identifier
1194547844
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BRADY MEDICAL GROUP PLLC
Practice address
6700 Alma Rd Ste 400
McKinney, TX 75070-1921
Phone
(844) 409-4657
Fax
(214) 614-4277
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Nikeyia Braxton
Title
Insurance
Phone
(206) 851-1757

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

6700 Alma Rd Ste 400
McKinney, TX 75070-1921

Mailing address

PO Box 50006
Denton, TX 76206-0006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612001801 TX Part B Supplier - Clinic/Group Practice 1951843440 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, TX; Dallas, TX; Denton, TX; Frisco, TX; Irving, TX; Mansfield, TX; McKinney, TX; Pearland, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1194547844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50006",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 ALMA RD STE 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701921",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "NIKEYIA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "206-851-1757"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.