Ted H. Brady,D.O.,PA

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

OS5247 Issued in FL

Legal business name

TED H. BRADY,D.O.,PA

Practice address

7710 NW 71St CT
Ste 203
Tamarac, FL 33321-2973

Phone

(954) 721-3008

Fax

(954) 721-3088

NPI assigned

Nov 10, 2016

Last updated

Nov 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ted Hugh Brady, D.O.NPI 1831150515

Title

Owner

Phone

(954) 721-3008

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TED H. BRADY,D.O.,PA Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ted Hugh Brady, D.O.

  • Pulmonary Disease Physician
  • Tamarac, FL
  • NPI 1831150515
  Authorized official Same address or phone

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478736000000",
    "number": "1366984122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT",
            "address_2": "STE 203",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212973",
            "telephone_number": "954-721-3008",
            "fax_number": "954-721-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 NW 71ST CT",
            "address_2": "STE 203",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212973",
            "telephone_number": "954-721-3008",
            "fax_number": "954-721-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED H. BRADY,D.O.,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-721-3008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "OS5247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370532300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TED H. BRADY,D.O.,PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Pulmonary Disease Physician in Tamarac, FL
• Providers in Tamarac, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; 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.