Claude Jeffery Braddy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5796 Issued in NC

Practice address

404 Lindsay St
High Point, NC 27262-4830

Phone

(336) 883-9300

Fax

(336) 883-6668

NPI assigned

Jun 27, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• C.Jeffery Braddy,DDS

  • General Practice Dentistry
  • High Point, NC
  • NPI 1225241730
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487681128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624830",
            "telephone_number": "336-883-9300",
            "fax_number": "336-883-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624830",
            "telephone_number": "336-883-9300",
            "fax_number": "336-883-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDY",
        "first_name": "CLAUDE",
        "middle_name": "JEFFERY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8990969",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bridget Boykin, RN
• Craig Edwin Boykin, DDS
• Raveen Boykin
• Brianna Boze, PHARMD
• Elizabeth Bozeman, M.D.
• Bradley a. Samuel DDS., P.a.
• Hannah Brady, LCMHC
• Menika Brady, DC
• Sara Lin-Eviston Brainard, PT
• Halie Brandt

• General Practice Dentistry in High Point, NC
• Providers in High Point, 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 Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.