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NPI Code Detail

MEDICARE: BRADY MEDICAL GROUP PLLC

MEDICARE: BRADY MEDICAL GROUP PLLC
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
1261QS1200XSleep Disorder Diagnostic Clinic/Center
2174400000XSpecialist

General Provider Information

NPI Number : 1912867094
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRADY MEDICAL GROUP PLLC
Provider Business Mailing Address
First Line : PO BOX 50006
Second Line :
City : DENTON
State : TX
Zip : 76206-0006
Country : US
Telephone Number : 844-409-4657
Fax Number : 214-614-4277
Provider Business Practice Location Address
First Line : 409 CENTRAL PARK DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2069
Country : US
Telephone Number : 844-409-4657
Fax Number : 214-614-4277
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : NIKEYIA BRAXTON
Credential :
Telephone Number : 844-409-4657
Provider Enumeration Date : 11/12/2025
Last Update Date : 02/26/2026

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