Brad Podray, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS038092 Issued in PA

Practice address

456 School LN
Suite 101
Harleysville, PA 19438-1715

Phone

(215) 513-1551

Fax

(215) 513-4255

NPI assigned

Oct 4, 2010

Last updated

Feb 19, 2013By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• A Plus Pediatric Dental Specialty, P.C.

  • Pediatric Dentistry
  • Harleysville, PA
  • NPI 1346681178
  NPD (past)
• Allied Orthodontics, P.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Harleysville, PA
  • NPI 1922339043
  NPD (past)

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1871802223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE DR",
            "address_2": "SUITE 108",
            "city": "FORT WASHINGTON",
            "state": "PA",
            "postal_code": "190342714",
            "telephone_number": "267-460-4254",
            "fax_number": "215-646-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 SCHOOL LN",
            "address_2": "SUITE 101",
            "city": "HARLEYSVILLE",
            "state": "PA",
            "postal_code": "194381715",
            "telephone_number": "215-513-1551",
            "fax_number": "215-513-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODRAY",
        "first_name": "BRAD",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-04",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "PA",
            "license": "DS038092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Anne Phipps, LPT
• Phoenix Rehabilitation and Health Services, Inc
• Physical Health and Wellness, LLC
• Richard J Pierotti, MD
• Eileen Podczasy Oimpo, RPH
• Polaris Pharmacy Services of Warrington, LLC (Polaris Pharmacy Services)
• Jennifer Rae Portnoy, PT, DPT
• Laura Portnoy, RDN, LDN
• Premier Health Psychology, LLC
• Prodigo Day Spa, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in Harleysville, PA
• Providers in Harleysville, PA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.