Bradley W Nordyke MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J7115 Issued in TX

Legal business name

BRADLEY W NORDYKE MD

Practice address

3914 Paredes Line Rd
Brownsville, TX 78526-1184

Phone

(956) 982-1696

Fax

(956) 982-2256

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley W Nordyke, M.D.NPI 1972560423

Title

Owner

Phone

(956) 982-1696

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Bradley W Nordyke MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Bradley W Nordyke MD

  • General Practice Physician
  • Brownsville, TX
  • NPI 1871772855
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley William Nordyke, M.D.

  • General Practice Physician
  • Brownsville, TX
  • NPI 1972560423
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1609925312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261184",
            "telephone_number": "956-982-1696",
            "fax_number": "956-982-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261184",
            "telephone_number": "956-982-1696",
            "fax_number": "956-982-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY W NORDYKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-982-1696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146384602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146384601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Otis Jacob Bouwsma, D.M.D.
• Lisa A Bowen-Bender, APRN
• Kasey Amber Bowen
• Boys & Girls Pediatric Clinic PA
• Boys & Girls Urgent Care P. a.
• Bradley W Nordyke MD
• Lilia Aurora Branum, SLP- ASSISTANT
• Breeze Valenska Cervantes PLLC (Cervantes Counseling Center)
• Brenda Garcia (Quality Medical Supplies)
• Romina Bres

• General Practice Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.