NPIMap

Organization Active NPI

Bradley W Nordyke MD

  • General Practice Physician
  • Brownsville, TX
National Provider Identifier
1871772855
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
J7115 Issued in TX
Legal business name
BRADLEY W NORDYKE MD
Practice address
3914 Paredes Line Rd
Brownsville, TX 78526-1184
Phone
(956) 982-1696
Fax
(956) 982-2256
NPI assigned
Oct 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mrs. Carmen Guadalupe Nordyke
Title
Office Manager
Phone
(956) 982-1696

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X J7115 TX Primary

Addresses

Primary practice location

3914 Paredes Line Rd
Brownsville, TX 78526-1184

Mailing address

3914 Paredes Line Rd
Brownsville, TX 78526-1184
Phone (956) 982-1696

National Provider Directory

National Provider Directory
Tax ID family
Bradley W Nordyke MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1871772855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261184",
            "telephone_number": "956-982-1696",
            "fax_number": "956-982-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 PAREDES LINE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785261184",
            "telephone_number": "956-982-1696",
            "fax_number": "956-982-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY W NORDYKE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "NORDYKE",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "GUADALUPE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "956-982-1696",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "J7115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.