Matthew Benjamin Brady, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6264 Issued in LA

Practice address

1050 E Admiral Doyle Dr
New Iberia, LA 70560-6711

Phone

(337) 446-2373

NPI assigned

Mar 15, 2012

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

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Louisiana Dental Professionals, Donovan Dronet, DDS, a Professional de

  • General Practice Dentistry
  • New Iberia, LA
  • NPI 1740897669
  NPD (past)

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1851666416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 ASHTON ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705631812",
            "telephone_number": "337-380-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 E ADMIRAL DOYLE DR",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705606711",
            "telephone_number": "337-446-2373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2028 Oak Creek Rd",
            "address_2": "Apt. 125",
            "address_purpose": "LOCATION",
            "city": "River Ridge",
            "state": "LA",
            "postal_code": "701235899",
            "country_code": "US",
            "telephone_number": "337-380-0608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 Old Jeanerette Rd",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705632910",
            "country_code": "US",
            "telephone_number": "337-365-5865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MATTHEW",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-15",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Anthony Boudreaux, M.D.
• Johanna Bourgeois, R.N.
• Natalie Bourque
• Reginald Boutte
• Carol Bradley
• Joseph Pierce Braud Jr., DDS, MSPH
• Damian Lawrence Breaux, LAT ATC
• Kelli Marie Breaux
• Yolanda Narcisse Breaux
• Breigh L Foster MD LLC

• General Practice Dentistry in New Iberia, LA
• Providers in New Iberia, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.