Individual provider Active NPI

Jett R Brady, M.D.

  • Diagnostic Radiology Physician
  • Houston, TX
National Provider Identifier
1538159272
Registry record updated Nov 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J1887 Issued in TX
Practice address
12951 South Fwy
Houston, TX 77047-1923
Phone
(713) 526-5771
Fax
(713) 526-2036
NPI assigned
Oct 25, 2005
Last updated
Nov 29, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X J1887 TX Primary

Addresses

Primary practice location

12951 South Fwy
Houston, TX 77047-1923

Mailing address

PO Box 4346
Dept 488
Houston, TX 77210-4346
Phone (713) 331-1850

Other identifiers 1

IdentifierTypeStateIssuer
124450104MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, UT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100109000143 TX Practitioner - Diagnostic Radiology 7416036009 Reassigns benefits to 1 organization
I20251215001627 UT Practitioner - Diagnostic Radiology 7416036009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Radiology AssociatedGroup PAC ID 8022092451, 107 clinicians

Practice addresses (Care Compare)

Kamas, UT 84036
Phone (832) 519-8599

6565 Fannin St
Houston, TX 77030-2703
Phone (281) 206-9020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.75 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Radiology Associated Diagnostic Radiology CurrentSince Jun 1, 1998 Accepting new patients

Locations

12951 South Fwy
Houston, TX 77047

18500 Katy Fwy
Houston, TX 77094
Phone (281) 206-9020

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1538159272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT 488",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "713-331-1850",
            "fax_number": "713-521-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12951 SOUTH FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770471923",
            "telephone_number": "713-526-5771",
            "fax_number": "713-526-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JETT",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J1887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "124450104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.