Bradley William Nordyke, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J7115 Issued in TX

Practice address

191 E Price Rd
Brownsville, TX 78521-3527

Phone

(956) 621-3593

Fax

(956) 621-3689

NPI assigned

Apr 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

General Practice

Education

Sanford School of Medicine of University of South Dakota, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brownsville Community Health Clinic CorporationGroup PAC ID 1658264304, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bradley.nordykemd.p1@direct.bchc.nextgenshare.com

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.

• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1740266444
  Medicare reassignment Care Compare group NPD
• Valley AIDS Council

  • Specialist
  • Harlingen, TX
  • NPI 1740223379
  Medicare reassignment NPD
• Bradley W Nordyke MD

  • General Practice Physician
  • Brownsville, TX
  • NPI 1609925312
  NPD (past) Authorized official
• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Laguna Vista, TX
  • NPI 1891525127
  NPD
• Bradley W Nordyke MD

  • General Practice Physician
  • Brownsville, TX
  • NPI 1871772855
  NPD (past)
• Brownsville Community Health Clinic Corporation

  • Federally Qualified Health Center (FQHC)
  • Brownsville, TX
  • NPI 1457659468
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638748800000",
    "number": "1972560423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-621-3593",
            "fax_number": "956-621-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 E PRICE RD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785213527",
            "telephone_number": "956-621-3593",
            "fax_number": "956-621-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDYKE",
        "first_name": "BRADLEY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-12-06",
        "certification_date": "2021-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J7115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269698-03",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1269698-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - MAOB",
            "identifier": "1F0206",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID - MAOB",
            "identifier": "126969811",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nisi Inc.
• Noble Primary Home Care, LLC
• Calvin Noble
• Noelia Villarreal
• Noelia Villarreal
• Herminia Noriega Torres, LPC
• Nadia Paola Noriega, APRN, FNP-C
• North Brownsville Childrens Clinic PLLC
• North Brownsville Imaging Center, L.P.
• North Star Occupational and Physical Therapy, LLC

• General Practice Physician in Brownsville, TX
• Providers in Brownsville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.