BRADLEY W NORDYKE MD NPI 1609925312

NPI Information

NPI: 1609925312
Provider Name: BRADLEY W NORDYKE MD
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3914 PAREDES LINE RD
BROWNSVILLE, TX
ZIP 78526
Phone: (956) 982-1696
Get Directions

BRADLEY W NORDYKE MD is a general practice in Brownsville, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BRADLEY W NORDYKE MD NPI is 1609925312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3914 PAREDES LINE RD
BROWNSVILLE, TX
ZIP 78526-184
Phone: (956) 982-1696
Fax: (956) 982-2256

The provider's authorized official is Bradley W Nordyke .
The authorized official title is Owner and has the following contact phone number (956) 982-1696.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/21/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		J7115	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	146384602	MEDICAID	TEXAS
2	146384601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »