Individual provider Active NPI

Todd George Brady, D.M.D.

  • General Practice Dentistry
  • The Woodlands, TX
National Provider Identifier
1972508109
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12939 Issued in TX
Practice address
3091 College Park Dr
Ste 310
The Woodlands, TX 77384-8026
Phone
(936) 321-2995
Fax
(936) 271-3225
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12939 TX Primary

Addresses

Primary practice location

3091 College Park Dr
Ste 310
The Woodlands, TX 77384-8026

Mailing address

3091 College Park Dr
Ste 310
The Woodlands, TX 77384-8026
Phone (936) 321-2995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1972508109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 COLLEGE PARK DR",
            "address_2": "STE 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848026",
            "telephone_number": "936-321-2995",
            "fax_number": "936-271-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3091 COLLEGE PARK DR",
            "address_2": "STE 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848026",
            "telephone_number": "936-321-2995",
            "fax_number": "936-271-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TODD",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "12939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; 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.