Nancy Bradley Merrill, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

J3552 Issued in TX

Practice address

Smu Memorial Student Health Center
6211 Bishop Blvd
Dallas, TX 75275-0195

Phone

(214) 768-2141

Fax

(214) 768-2151

NPI assigned

Jun 15, 2007

Sex

Female

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972708592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 SAVANNAH LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323729",
            "telephone_number": "817-370-1221",
            "fax_number": "214-768-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SMU MEMORIAL STUDENT HEALTH CENTER",
            "address_2": "6211 BISHOP BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752750195",
            "telephone_number": "214-768-2141",
            "fax_number": "214-768-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "NANCY",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "J3552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Mermis
• Joseph F Merola, M.D., M.M.SC.
• Robbie Arties Merrett, LPC
• Ricky Charles Merriam, LMT
• Ethan Gregory Merrifield, PHARMD
• Piper Merrill, NP
• Sonya Leigh Merrill, MD, PHD
• Tatiana Faith Merrill, RN
• Karen Lynn Merriman, ACNP-BC
• Ainsley Merritt

• General Practice Physician in Dallas, TX
• Providers in Dallas, 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 Jul 8, 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.