Organization Active NPI

Brady Medical Group PLLC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Mansfield, TX
National Provider Identifier
1841096773
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
BRADY MEDICAL GROUP PLLC
Practice address
1833 Cannon Dr
Mansfield, TX 76063-3482
Phone
(844) 409-4657
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Nikeyia Braxton
Title
Director of Advocacy
Phone
(844) 409-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X Primary

Addresses

Primary practice location

1833 Cannon Dr
Mansfield, TX 76063-3482

Mailing address

PO Box 50006
Denton, TX 76206-0006

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240612001801 TX Part B Supplier - Clinic/Group Practice 1951843440 Receives reassigned benefits from 9 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arlington, TX; Dallas, TX; Denton, TX; Frisco, TX; Irving, TX; Mansfield, TX; McKinney, TX; Pearland, TX

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

3800 Gaylord Pkwy
Ste 1190
Frisco, TX 75034
Phone (214) 919-3862

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1841096773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50006",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762060006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 CANNON DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760633482",
            "telephone_number": "844-409-4657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "NIKEYIA",
        "authorized_official_title_or_position": "DIRECTOR OF ADVOCACY",
        "authorized_official_telephone_number": "844-409-4657"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; 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.