MEDICARE: BRADY W JONES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	247100000X	Radiologic Technologist	RHF00094163	CA
2	2471C3401X	Computed Tomography Radiologic Technologist	435970	CA

General Provider Information

NPI Number	:	1326392549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRADY W JONES

Provider Business Mailing Address
First Line	:	1320 COURT ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-1635
Country	:	US
Telephone Number	:	530-605-0810
Fax Number	:

Provider Business Practice Location Address
First Line	:	1320 COURT ST
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-1635
Country	:	US
Telephone Number	:	530-605-0810
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2012
Last Update Date	:	03/21/2014

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Directions to “ BRADY W JONES ” Practice Location

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