Brady Medical Consultants, PLLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD10611 Issued in OR

Legal business name

BRADY MEDICAL CONSULTANTS, PLLC

Practice address

2095 Exchange Street
Suite 150
Astoria, OR 97103-3419

Phone

(503) 325-7546

Fax

(503) 325-7343

NPI assigned

Feb 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Raymond E Brady III, M.D.

Title

President

Phone

(503) 325-7546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1275701997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 EXCHANGE STREET",
            "address_2": "SUITE 150",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033419",
            "telephone_number": "503-325-7546",
            "fax_number": "503-325-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 EXCHANGE STREET",
            "address_2": "SUITE 150",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033419",
            "telephone_number": "503-325-7546",
            "fax_number": "503-325-7343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY MEDICAL CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-325-7546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD10611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer U Boggs, LCSW, CADC I
• Patricia Ann Boullie, CNM
• Judy Elaine Bouton, MSW LCSW
• Nicholas Bowling, RN
• Barbara Ann Bradley, CFNP
• Raymond E Brady III, MD
• Leah Danielle Bridges
• Tracie Brockey, DPT
• Aaron Andrew Brown, D.O
• Keri Kay Brown, D.O.

• All providers in Astoria, OR
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.