Individual provider Active NPI

Dennis Alan Brady, PHD, PASTORAL COUNSE

  • Pastoral Counselor
  • The Villages, FL
National Provider Identifier
1538520648
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Practice address
8564 E County Road 466
Suite 102
The Villages, FL 32162-3020
Phone
(352) 405-6733
NPI assigned
Mar 16, 2016
Last updated
Mar 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X Primary

Addresses

Primary practice location

8564 E County Road 466
Suite 102
The Villages, FL 32162-3020

Mailing address

8564 E County Road 466
Suite 102
The Villages, FL 32162-3020
Phone (352) 405-6733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1538520648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8564 E COUNTY ROAD 466",
            "address_2": "SUITE 102",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623020",
            "telephone_number": "352-405-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8564 E COUNTY ROAD 466",
            "address_2": "SUITE 102",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321623020",
            "telephone_number": "352-405-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "DENNIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PHD, PASTORAL COUNSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Villages, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2016; 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.