Raymond J Brady, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28655 Issued in CA

Practice address

2700 N Bellflower Blvd
Suite 306
Long Beach, CA 90815-1129

Phone

(562) 420-1301

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730398223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD",
            "address_2": "SUITE 306",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151129",
            "telephone_number": "562-420-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD",
            "address_2": "SUITE 306",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151129",
            "telephone_number": "562-420-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Noelle Bradley, CNA
• Kristen Aleen Bradley
• Roxanne Bradley, PSY.D., LMFT
• Jasmine Brady
• Jonathan Paul Brady, LMFT
• Vivian Marybell Brady, PA-C
• Marina Braff
• Justine Marie Alicaya Braga, FNP
• Laurie V Brainerd, FNP-C
• Mario Ignacio Brakin, MD

• General Practice Dentistry in Long Beach, CA
• Providers in Long Beach, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.