NPIMap

Organization Active NPI

Gerald T Brady Chiropractic Professional Corp

  • Chiropractor
  • Port Ludlow, WA
National Provider Identifier
1316134919
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002344 Issued in WA
Legal business name
GERALD T BRADY CHIROPRACTIC PROFESSIONAL CORP
Practice address
119 Village Way
Port Ludlow, WA 98365
Phone
(360) 437-8008
Fax
(360) 437-0406
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2011

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

Authorized official

Name
Dr. Gerald T Brady, DC
Title
Ceo
Phone
(360) 437-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH00002344 WA Primary

Addresses

Primary practice location

119 Village Way
Port Ludlow, WA 98365

Mailing address

PO Box 65111
Port Ludlow, WA 98365
Phone (360) 437-8008

Other names 1

  • Brady Chiropractic Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

119 Village Way
Port Ludlow, WA 98365
Phone (360) 437-8008

NPI Registry JSON

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1316134919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65111",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "98365",
            "telephone_number": "360-437-8008",
            "fax_number": "360-437-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 VILLAGE WAY",
            "city": "PORT LUDLOW",
            "state": "WA",
            "postal_code": "98365",
            "telephone_number": "360-437-8008",
            "fax_number": "360-437-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD T BRADY CHIROPRACTIC PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-437-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady Chiropractic Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Ludlow, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; 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.