William Jeffrey Brady, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G062693 Issued in CA

Practice address

3111 Professional Drive
Auburn, CA 95603

Phone

(530) 885-5618

NPI assigned

Jul 12, 2006

Sex

Male

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1790710002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20191 WOLF CREEK RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959496915",
            "telephone_number": "530-346-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 PROFESSIONAL DRIVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "530-885-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "WILLIAM",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G062693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G626930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill L Bradford, LMFT
• Jessica Lenay Bradley
• Sean Bradley
• Barton G Bradshaw, M.D.
• Joyce G Bradshaw, MD
• Sally G Bragg, RN
• Aimee Brammer
• Lauren Brande
• Brandon McKay Dever, DDS a Dental Corporation
• Eric L Branson, ACSW

• Internal Medicine Physician in Auburn, CA
• Providers in Auburn, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.