Individual provider Active NPI

Alfred B. Brady Jr., M.D.

  • Cardiovascular Disease Physician
  • Beaumont, TX
National Provider Identifier
1841293909
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D3567 Issued in TX
Practice address
755 N 11TH St
Ste P2200
Beaumont, TX 77702-1500
Phone
(409) 892-1192
Fax
(409) 924-9012
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D3567 TX Primary

Addresses

Primary practice location

755 N 11TH St
Ste P2200
Beaumont, TX 77702-1500

Mailing address

755 N 11TH St
Ste P2200
Beaumont, TX 77702-1500
Phone (409) 892-1192

Other identifiers 4

IdentifierTypeStateIssuer
0473832OtherTXAETNA ID
1338246MedicaidTX
76-0091070OtherTXOTHER INSURANCE CO.
BLUE CROSSOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080611000488 TX Practitioner - Cardiovascular Disease (Cardiology) 3274525498 Reassigns benefits to 2 organizations
Practice locations: Beaumont, TX

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Tulane University School of Medicine, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Cardiovascular Specialists LLPGroup PAC ID 9032179791, 12 clinicians

Practice addresses (Care Compare)

755 N 11TH St
Suite P2200
Beaumont, TX 77702-1513
Phone (409) 892-1192

Hospital & facility affiliations

  • Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034
  • Sabine County Hospital Hospital, Hemphill, TX, CCN 451361
  • Tyler County Hospital Hospital, Woodville, TX, CCN 450460

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Cardiovascular Specialists, LLP Cardiovascular Disease CurrentSince Jul 1, 2008 Accepting new patients
Christus Health Southeast Texas CurrentSince Feb 1, 2010 Accepting new patients
Christus Health Southeast Texas Cardiovascular Disease CurrentSince Feb 1, 2010 Accepting new patients
Beaumont ASC, LP PastSince Oct 1, 2016 Accepting new patients
Alfred B. Brady, M.D., P.a. PastSince Jan 1, 1990 Accepting new patients
Physicians Cardiovascular Diagnostic Center, L.L.P. Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

755 N 11th St
Ste P2200
Beaumont, TX 77702
Phone (409) 892-1192

755 N 11th St
Ste P3970A
Beaumont, TX 77702
Phone (409) 924-3996

755 N 11th St
Ste P3970B
Beaumont, TX 77702
Phone (409) 924-3996

3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431

Interoperability endpoints

  • Direct secure messaging: alfred.brady.p4@direct.ahgcardiology.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1841293909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 N 11TH ST",
            "address_2": "STE P2200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021500",
            "telephone_number": "409-892-1192",
            "fax_number": "409-924-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "ALFRED",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "D3567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "0473832",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1338246",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER INSURANCE CO.",
            "identifier": "76-0091070",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BLUE CROSS",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.