Brady Dental Group, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BRADY DENTAL GROUP, PA

Practice address

702 W 17TH St
Brady, TX 76825-6936

Phone

(325) 597-7441

NPI assigned

Sep 3, 2019

Organization subpart

Yes

Parent organization

BRADY DENTAL GROUP, PAAs reported in NPPES

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

Authorized official

Name

Dr. Susan Jolliff, DDSNPI 1003857442

Title

Dentist

Phone

(325) 597-7441

Specialties & licenses 1

Addresses

Other names 1

• Brady Dental Group, PA Doing business as

Part of

Brady Dental Group PA

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Brady Dental Group

  • General Practice Dentistry
  • Amarillo, TX
  • NPI 1023382546
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan D. Jolliff, D.D.S.

  • General Practice Dentistry
  • Brady, TX
  • NPI 1003857442

  Durable Medical Equipment & Medical Supplies

  NPD (past) Authorized official

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1831747799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 W 17TH ST",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768256936",
            "telephone_number": "325-597-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 W 17TH ST",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768256936",
            "telephone_number": "325-597-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY DENTAL GROUP, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRADY DENTAL GROUP, PA",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "JOLLIFF",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "325-597-7441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brady Dental Group, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chris Aguilar
• Leigh Ann Arnold, PT, DPT
• Victoria R Bailey
• Mohamed Ben Barrie, PHARMD
• Baylor County Hospital District
• Brady Isd
• Brady Medical Clinic, P.a.
• Brady West SNF LLC
• Carter Healthcare of Brady, LLC
• Ai Qin Amanda Chen, D.O.

• All providers in Brady, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.