MEDICARE: DR. JOCKULAR BRADY FORD M.D.

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	207V00000X	Obstetrics & Gynecology Physician	127727	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	160011356	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0005367485	OTHER	NY	AETNA
2	00040400801	OTHER	NY	UNIVERA
3	141655014	OTHER	NY	UNITED HEALTHCARE
4	040426006337	OTHER	NY	FIDELIS
5	10000669	OTHER	NY	CDPHP
6	45520	OTHER	NY	GHIHMO
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	110129	OTHER	NY	WELLCARE
10	16151	OTHER	NY	MVP
11	000416095001	OTHER	NY	BLUE SHIELD
12	0015055	OTHER	NY	GHI
13	141655014	OTHER	NY	EMPIRE PLAN
14	50Z111	OTHER	NY	BLUE CROSS

General Provider Information

NPI Number	:	1679531289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOCKULAR BRADY FORD M.D.

Provider Business Mailing Address
First Line	:	711 TROY SCHENECTADY RD
Second Line	:	SUITE 203
City	:	LATHAM
State	:	NY
Zip	:	12110-2442
Country	:	US
Telephone Number	:	518-782-3700
Fax Number	:	518-782-3799

Provider Business Practice Location Address
First Line	:	101 JORDAN RD
Second Line	:	SUITE 200
City	:	TROY
State	:	NY
Zip	:	12180-8343
Country	:	US
Telephone Number	:	518-274-0476
Fax Number	:	518-274-0497

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/16/2013

Similar Medicare Providers

1053495812 — SHARON BEDFORD
Practice Location Address:

101 JORDAN RD , SUITE 104
TROY, NY
12180-8343

Practice Phone: 518-274-9126
Practice Fax: 518-274-9487

1891785689 — STEVE FRANCIS DESERRE CNM
Practice Location Address:

101 JORDAN RD , SUITE 200
TROY, NY
12180-8343

Practice Phone: 518-274-0476
Practice Fax: 518-274-0497

1568428654 — DR. MELODY ANN BRUCE M.D.
Practice Location Address:

101 JORDAN RD , SUITE 200
TROY, NY
12180-8343

Practice Phone: 518-274-0476
Practice Fax: 518-274-0497

1316904105 — DR. MARY SUSAN ELACQUA M.D.
Practice Location Address:

101 JORDAN RD , SUITE 200
TROY, NY
12180-8343

Practice Phone: 518-274-0476
Practice Fax: 518-274-0497

1588622930 — DR. NAOMI TERRY BLOOMFIELD M.D.
Practice Location Address:

101 JORDAN RD , SUITE 200
TROY, NY
12180-8343

Practice Phone: 518-274-0476
Practice Fax: 518-274-0497

1194783852 — ERIC GROSS MD
Practice Location Address:

101 JORDAN RD , SUITE 100
TROY, NY
12180-8343

Practice Phone: 518-274-9126
Practice Fax:

Directions to “ DR. JOCKULAR BRADY FORD M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.