Andrew T Brady, D.C
Individual provider Active NPI Chiropractor · Hudson, OH
NPI 1437596038 · NPPES record last updated Jan 8, 2019
Key facts
- NPI
- 1437596038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4392 (OH)
- Practice address
- 1340 Corporate Dr Ste 300
Hudson, OH 44236-4444 - Phone
- (234) 284-8002
- Fax
- (234) 284-8002
- NPI assigned
- May 23, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1340 Corporate Dr
Suite 300
Hudson, OH 44236-4444
Phone (234) 284-8002
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240116003954 | OH | Practitioner - Chiropractic | 5092956219 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4392 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BFB Wellness, LLC | Chiropractor | Current |
Accepting new patients |
Locations
1340 Corporate Dr
Ste 300
Hudson, OH 44236
Phone (234) 284-8002
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4392 | OH | Yes |
Addresses
Primary practice location
1340 Corporate Dr Ste 300
Hudson, OH 44236-4444
Mailing address
1340 Corporate Dr Ste 300
Hudson, OH 44236-4444
Phone (234) 284-8002
Other providers in Hudson, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.