Jeffrey Levitt Brady, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4311 Issued in OR

Practice address

10060 E Burnside St
Portland, OR 97216-2334

Phone

(503) 228-4988

Fax

(503) 228-6245

NPI assigned

Dec 16, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1245701465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162334",
            "telephone_number": "503-228-4988",
            "fax_number": "503-228-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 E BURNSIDE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162334",
            "telephone_number": "503-228-4988",
            "fax_number": "503-228-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JEFFREY",
        "middle_name": "LEVITT",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "20323",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D4311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Brady, RN
• Dyann Cathleen Brady, PWS
• Elise Marie Brady
• Grace Michele Brady
• Jacqueline Munch Brady, M.D.
• Jennifer Nelson Brady, MD
• Kat V Brady, LAC
• Lisa Brady
• Lisa M Brady, L.AC.
• Patricia Brady, M.S.CCC/SLP

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.