Alysia Braddock

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

LR60273231 Issued in WA

Practice address

9441 LBJ Fwy
Suite 602
Dallas, TX 75243-4545

Phone

(469) 249-1882

Fax

(877) 788-7505

NPI assigned

Nov 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Supplemental Health Care

  • Sonography Radiologic Technologist
  • Dallas, TX
  • NPI 1770986762
  NPD (past)

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1629474341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY",
            "address_2": "SUITE 602",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434545",
            "telephone_number": "469-249-1882",
            "fax_number": "877-788-7505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9441 LBJ FWY",
            "address_2": "SUITE 602",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434545",
            "telephone_number": "469-249-1882",
            "fax_number": "877-788-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADDOCK",
        "first_name": "ALYSIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-06",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "WA",
            "license": "LR60273231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPIRATORY CARE PRACTITIONER LICENSE",
            "identifier": "LR60273231",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brackets Dental PLLC
• Jessica Bracy-Kaatz, APRN, WHNP-BC
• Brad Hubbard MD PA
• Helen Yvonne Bradbury, RN
• Makayla Ann Bradbury, DO
• Amanda Nichole Braddock, MD
• Randi M Bradfield
• Bradford L Romans MD PA
• Ashley Bradford, FNP-C
• Ebony S Bradford

• Registered Respiratory Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Registered Respiratory Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; 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.