Frank J Grady MD Assoc Brazosport Eye Clinic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

FRANK J GRADY MD ASSOC BRAZOSPORT EYE CLINIC

Practice address

103 Parking Way St
Lake Jackson, TX 77566-5228

Phone

(979) 297-2961

Fax

(979) 297-2395

NPI assigned

Feb 26, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan Grady, M.D.NPI 1386838563

Title

President

Phone

(979) 297-2961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Patrick Grady, M.D.

  • Ophthalmology Physician
  • Lake Jackson, TX
  • NPI 1386838563
  Medicare reassignment NPD Authorized official
• Frank J Ruda, M.D.

  • Ophthalmology Physician
  • The Woodlands, TX
  • NPI 1952561870
  Medicare reassignment NPD

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1518093541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-297-2961",
            "fax_number": "979-297-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKING WAY ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665228",
            "telephone_number": "979-297-2961",
            "fax_number": "979-297-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J GRADY MD ASSOC BRAZOSPORT EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "GRADY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "979-297-2961",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitness & Rehabilitation Services, LLC
• Corina Rae Fitze-Vallier, PHARMACY TECHNICIAN
• Foot Doctors of Texas LLC (Foot Specialists of Lake Jackson)
• Kara Desper Ford, D.M.D.
• Michel Antoinette Foster, OTR
• Gwendolyn Casandra Franks Carter, LCSW
• Dedra Deann Frazier, PH.D
• Craig K Freedman, M.D.
• Kim Freeman, MA DMD MS
• Melinda Friudenberg, FNP

• Medical Specialty Clinic/Center in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Medical Specialty Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.