Organization Active NPI

Brady Chiropractic

  • Rehabilitation Chiropractor
  • Plano, TX
National Provider Identifier
1275715807
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9694 Issued in TX
Legal business name
BRADY CHIROPRACTIC
Practice address
2929 Custer Rd
#320
Plano, TX 75075-4418
Phone
(972) 867-8500
Fax
(972) 867-8509
NPI assigned
Dec 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Robert Brady, D.C.NPI 1649383233
Title
Owner
Phone
(972) 867-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 9694 TX Primary

Addresses

Primary practice location

2929 Custer Rd
#320
Plano, TX 75075-4418

Mailing address

2929 Custer Rd
#320
Plano, TX 75075-4418
Phone (972) 867-8500

Other identifiers 1

IdentifierTypeStateIssuer
1649383233OtherTXNPI TYPE 1

Other names 1

  • Alternative Pain Management Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090616000384 TX Part B Supplier - Clinic/Group Practice 1557411402 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

2929 Custer Rd
Ste 320
Plano, TX 75075
Phone (972) 867-8500

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1275715807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CUSTER RD",
            "address_2": "#320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754418",
            "telephone_number": "972-867-8500",
            "fax_number": "972-867-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CUSTER RD",
            "address_2": "#320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754418",
            "telephone_number": "972-867-8500",
            "fax_number": "972-867-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-867-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1649383233",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alternative Pain Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.