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AMANDA NICHOLE BRADDOCK MD
NPI 1073364923
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since March 28, 2024
1936 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 456-5518 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Nichole Braddock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA NICHOLE BRADDOCK MD (NPI 1073364923) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1073364923
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA NICHOLE BRADDOCKCredential: MD
Location Address1936 MEDICAL DISTRICT DRDallas, TX 75235-7702
Mailing Address1406 Lofty Maple TrlKingwood, TX 77345-1931 · (832) 330-6561
Phone(214) 456-5518
Sole ProprietorYes
Enumeration DateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
✔ NPI 1073364923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1936 MEDICAL DISTRICT DR, Dallas, TX 75235
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Braddock's NPI number?

The NPI number for Amanda Braddock is 1073364923. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Amanda Braddock located?

Amanda Braddock practices at 1936 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 456-5518.

What is Amanda Braddock's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Braddock was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.