Patrick R Brady, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8642 Issued in TX

Practice address

2630 S Carrier Pkwy
Suite a
Grand Prairie, TX 75052-5069

Phone

(972) 660-5522

Fax

(972) 660-5525

NPI assigned

Apr 10, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 23, 2016 through May 23, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Chester Spencer,DDS,MSD,&Associates

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Prairie, TX
  • NPI 1972773869
  NPD (past)
• James Ian Ballou, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Grand Prairie, TX
  • NPI 1407187479
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205107200000",
    "number": "1407079338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY",
            "address_2": "SUITE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525069",
            "telephone_number": "972-660-5522",
            "fax_number": "972-660-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 S CARRIER PKWY",
            "address_2": "SUITE A",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750525069",
            "telephone_number": "972-660-5522",
            "fax_number": "972-660-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "PATRICK",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "8642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Booth, MD
• Samuel K Bore, LPC
• Maya Miko Botomani-Mposi, PA-C
• Zachary Q. Botone, MD
• Keana Bradley, LPC
• Sharlene Brady
• Temeka Fashawn Branch
• Sharina Nicole Branum, LMSW
• Doreen E Brass, RN, IBCLC
• Bravo Dental

• Orthodontics and Dentofacial Orthopedics Dentistry in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.