Brady B George, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11910 Issued in NC

Practice address

100 Pavilion Way Ste G
Southern Pines, NC 28387-4560

Phone

(910) 684-3687

Fax

(910) 401-1918

NPI assigned

Jul 20, 2020

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not 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.

• Dr. Jason Graves and Associates PA

  • Dentist
  • Southern Pines, NC
  • NPI 1023634730
  NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1417565144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PAVILION WAY STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874560",
            "telephone_number": "910-684-3687",
            "fax_number": "910-401-1918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PAVILION WAY STE G",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283874560",
            "telephone_number": "910-684-3687",
            "fax_number": "910-401-1918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "BRADY",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "11910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Michael Gast, PA-C
• Ellen Mae Gaudlip, MD
• Erin E Gaudreault, MSW, LCSW
• Hugh Perry Gayman Jr., PT
• Laurel Dell Gentry, PHARMD
• Michelle Marie Gerardot, LCSW
• Kimberly Giliberti
• Rachel Gilliam, PT
• Shannon Gillooly
• Traci Globke

• General Practice Dentistry in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.