Bradley Friedman M.D. P.a.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M5168 Issued in TX

Legal business name

BRADLEY FRIEDMAN M.D. P.A.

Practice address

11560 Teel Pkwy
Suite #100
Frisco, TX 75034-4430

Phone

(972) 668-0821

NPI assigned

May 17, 2007

Organization subpart

No

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

Authorized official

Name

Bradley Ryan Friedman, M.D.

Title

Owner

Phone

(972) 668-0821

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1487861589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 TEEL PKWY",
            "address_2": "SUITE #100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344430",
            "telephone_number": "972-668-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 TEEL PKWY",
            "address_2": "SUITE #100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344430",
            "telephone_number": "972-668-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY FRIEDMAN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-668-0821",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M5168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "0095QC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Imran Khan Bozai, PHARMD
• Katelyn Suzanne Braatz, MS, LPC, NBCC
• Trace Bracci
• Megan Wesley Brackenbury
• Bradley Buchwald DMD
• Crystal Renee Bradley, PHARM.D.
• Pamela Janice Bradley, LPC
• Shalako Mongosanta Bradley Jr.
• Temesa Bradley, LPC
• Shannon Marie Bradshaw

• Primary Care Clinic/Center in Frisco, TX
• Providers in Frisco, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.