Organization Active NPI

Brady Medical Group PLLC

  • Specialist
  • Frisco, TX
National Provider Identifier
1417647348
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BRADY MEDICAL GROUP PLLC
Practice address
3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418
Phone
(844) 409-4657
NPI assigned
May 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Nikeyia Braxton
Title
Insurance
Phone
(206) 851-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418

Mailing address

3800 Gaylord Pkwy Ste 1190
Frisco, TX 75034-9418

Other practice location 1

12770 Coit Rd Ste 1200
Dallas, TX 75251-1413
Phone (844) 409-4657

Other practice location 2

1833 Cannon Dr
Mansfield, TX 76063-3482
Phone (844) 409-4657

Other practice location 3

6031 Connection Dr Ste 100
Irving, TX 75039-2604
Phone (844) 409-4657

Other practice location 4

2443 S Galveston Ave
Pearland, TX 77581-4222
Phone (844) 409-4657

Other practice location 5

6700 Alma Rd Ste 400
McKinney, TX 75070-1921
Phone (844) 409-4657

Other practice location 6

203 E Debbie Ln
Mansfield, TX 76063-2924
Phone (844) 409-4657

Other practice location 7

3201 Medpark Drive
Denton, TX 76208
Phone (844) 409-4657

Other practice location 8

409 Central Park Dr
Arlington, TX 76014-2069
Phone (844) 409-4657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612001801 TX Part B Supplier - Clinic/Group Practice 1951843440 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
Practice locations: Arlington, TX; Dallas, TX; Denton, TX; Frisco, TX; Irving, TX; Mansfield, TX; McKinney, TX; Pearland, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1833 Cannon Dr
Mansfield, TX 76063
Phone (817) 477-4441

1700 Coit Rd
Plano, TX 75075
Phone (972) 398-9444

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1417647348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 GAYLORD PKWY STE 1190",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349418",
            "telephone_number": "844-409-4657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12770 Coit Rd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752511413",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1833 Cannon Dr",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760633482",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6031 Connection Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irving",
            "state": "TX",
            "postal_code": "750392604",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2443 S Galveston Ave",
            "address_purpose": "LOCATION",
            "city": "Pearland",
            "state": "TX",
            "postal_code": "775814222",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 Alma Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750701921",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 E Debbie Ln",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "TX",
            "postal_code": "760632924",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3201 Medpark Drive",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "76208",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "409 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760142069",
            "country_code": "US",
            "telephone_number": "844-409-4657",
            "fax_number": "214-614-4277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "NIKEYIA",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "206-851-1757"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.