Individual provider Active NPI

Robert Brady, DC

  • Nutrition Chiropractor
  • Plano, TX
National Provider Identifier
1649383233
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
9694 Issued in TX
Practice address
2929 Custer Rd
Suite 320
Plano, TX 75075-4418
Phone
(972) 867-8500
Fax
(972) 597-8509
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 9694 TX Primary

Addresses

Primary practice location

2929 Custer Rd
Suite 320
Plano, TX 75075-4418

Mailing address

2929 Custer Rd
Suite 320
Plano, TX 75075-4418
Phone (972) 867-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040714000686 TX Practitioner - Chiropractic 1658350723 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9694TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brady Chiropractic CurrentSince Jun 16, 2009 Accepting new patients

Locations

2929 Custer Rd
Ste 320
Plano, TX 75075
Phone (972) 867-8500

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206576000000",
    "number": "1649383233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 CUSTER RD",
            "address_2": "SUITE 320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754418",
            "telephone_number": "972-867-8500",
            "fax_number": "972-597-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 CUSTER RD",
            "address_2": "SUITE 320",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750754418",
            "telephone_number": "972-867-8500",
            "fax_number": "972-597-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ROBERT",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "9694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.