Brady Dylla

Primary specialty

AudiologistTaxonomy code 231H00000X

License

81353 Issued in TX

Practice address

2508 Broadway
San Antonio, TX 78209-5712

Phone

(210) 247-9374

NPI assigned

Apr 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ear Institute of Texas P aGroup PAC ID 5991800310, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ear Institute of Texas P a

  • Specialist
  • San Antonio, TX
  • NPI 1093846248
  Medicare reassignment Care Compare group NPD
• Audiology and Hearing Services of Kerrville PLLC

  • Audiologist
  • Kerrville, TX
  • NPI 1154596658
  NPD (past)

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1316680937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 SINGING WIND DR APT 613",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BROADWAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095712",
            "telephone_number": "210-247-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "703 Hill Country Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Kerrville",
            "state": "TX",
            "postal_code": "780286160",
            "country_code": "US",
            "telephone_number": "830-792-4060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S Adams St",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786244437",
            "country_code": "US",
            "telephone_number": "830-997-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYLLA",
        "first_name": "BRADY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-08-02",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "81353",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81353",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gawain Dyer, M.D.
• Daniel Dyjak, LPC
• Heather Dykes, M.S., CCC-SLP
• Kenneth Ray Dykes, RPH
• Lisa Ann Dykes
• Dynamic Dermatology, PLLC
• Dynamic Medical LLC
• Dynamic Wound Care
• Mary Elizabeth Dyson, MD
• DZ Industries

• Audiologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Audiologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.