Braddy Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

F Issued in FL

Legal business name

BRADDY SERVICES INC

Practice address

4117 Cox Dr
Land O Lakes, FL 34639-3929

Phone

(813) 363-3964

Fax

(813) 996-1209

NPI assigned

May 2, 2007

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juanita Lowe

Title

Areaoffice Manager

Phone

(727) 237-5394

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Braddy Services Inc2 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.

• B.R.a.D.D.Y. Services, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Land O' Lakes, FL
  • NPI 1609089986
  NPD tax ID

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669693859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 COX DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393929",
            "telephone_number": "813-363-3964",
            "fax_number": "813-996-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 COX DR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393929",
            "telephone_number": "813-363-3964",
            "fax_number": "813-996-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADDY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "AREAOFFICE MANAGER",
        "authorized_official_telephone_number": "727-237-5394"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6842704",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy Bolis, DO
• Tara Kymberly Bond
• Kathryn Bonefas
• Sarah K Boutros, PSYD
• Holly Marie Boyd, N.P.
• Tammy Bradley, RPH
• Katie Elizabeth Brander
• Brianna M Brandon, PSY.D.
• George Alan Brant, DO
• Carlos Y Brea, MD

• Developmentally Disabled Services Day Training Agency in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.