DR. TIMOTHY J. BRADY (NPI# 1083680383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083680383 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J. BRADY |
| Credential | DDS |
| Practice Address |
1647 Admiral Taussig Blvd Norfolk VA 23511-2803 |
| Practice Telephone | 7573146609 |
| Mailing Telephone | 7573146609 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
0401006065 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225050529 | Timothy P. Brady | Dentist | 140 Punzalan St, C/o Guam Dental Arts, Tamuning, GU 96913-3441 | 2006-07-24 |
| 1942253208 | Timothy B Brady | Internal Medicine | 9443 E. 38th St., Indianapolis, IN 46236-2132 | 2006-05-18 |
| 1568994903 | Timothy Brady | Pediatrics | 2821 Maplewood Ave, Winston Salem, NC 27103-4137 | 2017-04-03 |
| 1801024666 | Timothy J Brady | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2137 | 2009-06-30 |
| 1114059813 | Timothy Daniel Brady | Psychologist | 2580 E Main St, Suite 100, Ventura, CA 93003-2646 | 2007-03-09 |
| 1417099045 | Timothy Francis Brady | Dentist | 111 Mason St, Newark, NY 14513-1459 | 2007-02-12 |
| 1346386554 | Timothy H Brady | Social Worker | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-01-29 |
| 1518056258 | Timothy Tobin Brady | Internal Medicine | 10012 Kennerly Rd, Ste 101, St Louis, MO 63128 | 2006-10-12 |
| 1720074792 | Timothy K. Brady | Chiropractor | 514 28 1/4 Rd, Suite 1, Grand Junction, CO 81501-4961 | 2005-09-23 |
| Street Address |
1647 ADMIRAL TAUSSIG BLVD |
| City | NORFOLK |
| State | VA |
| Zip Code | 23511-2803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407775 | David A. Glass | Dentist | 1647 Admiral Taussig Blvd, Naval Dental Clinic, Norfolk, VA 23511-2803 | 2005-06-17 |
| 1386258564 | Ryan Huo | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-03 |
| 1699389312 | Stephen Shimp | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1053925776 | Emil Alex Berkovich | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-09-01 |
| 1265043749 | Raymond Gozon | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-10 |
| 1427668789 | Travis Lee Hediger | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-08-03 |
| 1609485341 | Samer S. Gazale | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-29 |
| 1962011213 | Courtney Haron | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-23 |
| 1942818281 | Zachery J Pommer | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
| 1487262739 | Kristina Chang | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215591888 | Nash Richard Galvan | Military Health Care Provider | 456-462 Pocahontas St, Norfolk, VA 23511 | 2019-04-29 |
| 1578059481 | Hillary Anne Diffee | Dentist | Navsta Norfolk Sewells Point Branch Clinic, 1647 Admiral Taussig Blvd, Norfolk, VA 23511 | 2018-07-03 |
| 1154860237 | Alexander Blau | General Practice | 1751 Morris Street, Comnavsurflant - Medical Readiness Division, Norfolk, VA 23511 | 2017-02-22 |
| 1205188307 | Agnes Bautista Banias | Dental Hygienist | 1647 Admiral Taussig Blvd Br Health Clinic, Naval Medical Center Portsmouth, Norfolk, VA 23511 | 2012-10-12 |
| 1891052676 | Conor Francis Hynes | Surgery | 1530 Gilbert St Ste 2000, Norfolk, VA 23511 | 2012-04-18 |
| 1871867747 | Brian Joseph Kennerley | Surgery | U. S. Marine Corps Forces Command, 1775 Forrestal Drive Bldg 33, Norfolk, VA 23511 | 2012-02-23 |
| 1053629964 | Shawnly Heath Ward | Military Health Care Provider | Surface Warfare Medical Institute - East, 459 Bellinger Blvd, Norfolk, VA 23511 | 2010-09-14 |
| 1225351760 | Jocelyn Martinezdelgado | Military Health Care Provider | 8857 1st Street, Pcu Jason Dunham Suite 400, Norfolk, VA 23511 | 2010-03-11 |
| 1245480854 | Vanessa O Hofilena | Dentist | 1647 Admiral Taussig Boulevard, Naval Medical Center Portsmouth - Dental Center, Norfolk, VA 23511 | 2008-09-19 |
| 1780833954 | Cecilia M Brownblake | Dentist | 1647 Admiral Taussig Blvd., Norfolk, VA 23511 | 2008-09-12 |
| Find all providers in zip 23511 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316259237 | Tuo Sheng Joel Khoo | Dentist | 7913 Azalea Garden Rd, Norfolk, VA 23518-3201 | 2010-07-08 |
| 1306817739 | Paul R David | Dentist | 1647 Admiral Taussig Blvd, Norfolk, VA 23511-2803 | 2006-02-01 |
| 1912977893 | Dean Beatty | Dentist | 1035 Nider Blvd, Norfolk, VA 23521-2701 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093295149 | Lux Dental Center | Dentist | 43761 Parkhurst Plz Ste 132, Ashburn, VA 20147-5470 | 2018-08-17 |
| 1710362447 | Walter Emanuel Odisho | Dentist | 3040 Williams Dr Ste 201, Fairfax, VA 22031 | 2015-07-23 |
| 1417207986 | Techkouhie Hamalian | Dentist | 1911 Fort Myer Dr, Arlington, VA 22209-1607 | 2012-09-12 |
| 1790061695 | Marjan Salari | Dentist | 6960g Bradlick Shopping Ctr # G, Annandale, VA 22003-7227 | 2011-10-24 |
| 1740582832 | Eun Hye Lee | Dentist | 1861 Explorer St, Reston, VA 20190-5665 | 2010-11-23 |
| 1184944217 | Harshit A Aggarwal | Dentist | 7630 Little River Tpke Ste 115, Annandale, VA 22003-2610 | 2010-06-11 |
| 1538493275 | Juan Eduardo Alvarez | Dentist | 21287 Southolme Way, Ashburn, VA 20147-6087 | 2009-09-29 |
| 1053543835 | Thomas S Striano | Dentist | 250 S Whiting St, Suite 116, Alexandria, VA 22304-3656 | 2009-08-13 |
| 1811121114 | Dr.s Sullivan, Kaihara & Watkins | Dentist | 6845 Elm St Ste 475, Mc Lean, VA 22101-6051 | 2009-05-14 |
| 1518108935 | Brent Lee Rigby | Dentist | 129 University Blvd Ste B, Harrisonburg, VA 22801-3751 | 2009-03-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.