William James Brady Jr., DC
Individual provider Active NPI Chiropractor · Algonac, MI
NPI 1235249244 · NPPES record last updated Oct 2, 2012
Key facts
- NPI
- 1235249244
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- WB005681 (MI)
- Practice address
- 406 Pointe Tremble
Algonac, MI 48001 - Phone
- (810) 794-5000
- Fax
- (810) 794-2226
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
406 Pointe Tremble Rd
Algonac, MI 48001-1805
Phone (810) 794-5000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120201000945 | MI | Practitioner - Chiropractic | 0042477101 | Practice locations: Algonac, MI |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WB005681 | MI | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WB005681 | MI | Yes |
Addresses
Primary practice location
406 Pointe Tremble
Algonac, MI 48001
Mailing address
PO Box 431
Algonac, MI 48001
Phone (810) 794-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0F45009 | Other | MI | BLUE CROSS |
Other providers in Algonac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.