DR. ROGER TIMOTHY BRADY DC
NPI 1508499906
Chiropractor in Oakdale, MN

Active since February 14, 2020Accepts Medicare Assignment
1051 HELMO AVE N, OAKDALE, MN 55128(651) 447-8811 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Roger Timothy Brady Dc NPPES

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

DR. ROGER TIMOTHY BRADY DC (NPI 1508499906) is an individual chiropractor in Oakdale, Minnesota, licensed in Minnesota (6699) and active in the NPI registry since February 2020. He is a graduate of Cleveland Chiropractic College - Kansas City (2019).

NPPES Registry Identity

NPI1508499906
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. ROGER TIMOTHY BRADYCredential: DC
Location Address1051 HELMO AVE NOakdale, MN 55128-6032
Mailing Address1051 Helmo Ave NOakdale, MN 55128-6032 · (651) 447-8811
Sole ProprietorNo
Medical School CMSCleveland Chiropractic College - Kansas CityGraduated 2019
Enumeration DateFebruary 14, 2020
✔ NPI 1508499906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 6699
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1051 HELMO AVE N, Oakdale, MN 55128

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roger Timothy Brady Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335576495
PECOS Enrollment IDI20200302001426

Medicare Billing Reassignment

Medicare enrollment records show Roger Brady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chiropractor
1051 HELMO AVE N
Oakdale, MN 55128
  • Reassigned Medicare billing, Minnesota enrollment
  • 2 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1051 HELMO AVE N
OAKDALE, MN 55128

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 Roger Brady's NPI number?

The NPI number for Roger Brady is 1508499906. It was assigned to this individual provider in the NPPES registry on February 14, 2020.

Where is Roger Brady located?

Roger Brady practices at 1051 Helmo Ave N, Oakdale, MN 55128. The listed phone number is (651) 447-8811.

What is Roger Brady's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Roger Brady enrolled in Medicare?

Yes. Roger Brady is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Roger Brady's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Roger Brady reassigns Medicare benefits to Optimal Life Chiropractic LLC (Oakdale, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Roger Brady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Roger Brady was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.