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DR. BRAD A THERIOT DDS
NPI 1649242132
Dentist - Oral and Maxillofacial Surgery in Austin, TX

Active since February 07, 2006
2501 W WILLIAM CANNON DR, SUITE 6B, AUSTIN, TX 78745(512) 447-6684 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brad A Theriot Dds NPPES

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

DR. BRAD A THERIOT DDS (NPI 1649242132) is an individual oral and maxillofacial surgery provider in Austin, Texas, licensed in Texas (13698) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1649242132
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. BRAD A THERIOTCredential: DDS
Location Address2501 W WILLIAM CANNON DR, SUITE 6BAustin, TX 78745-5281
Mailing Address711 W 38th St, Suite A-1Austin, TX 78705-1121 · (512) 454-1220
Phone(512) 447-6684
Sole ProprietorNo
Enumeration DateFebruary 7, 2006
Last NPPES UpdateSeptember 4, 2014
✔ NPI 1649242132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 13698
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
2501 W WILLIAM CANNON DR, Austin, TX 78745
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Other Identifiers 2

Medicare UPINT16248
Medicare ID-Type Unspecified84G431

Other Providers at the Same Location NPPES 20

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

JENNIFER SCARDINO LCSW
Social Worker (Clinical)
2501 W WILLIAM CANNON DR
AUSTIN, TX 78745
Travis County (512) 344-9181
MARGARET A. MARTIN LCSW
Social Worker (Clinical)
2501 W WILLIAM CANNON DR, SUITE 401
AUSTIN, TX 78745
Travis County (512) 416-7246
ROBERT P WILLS MD PLLC
Pain Medicine (Interventional Pain Medicine)
2501 W WILLIAM CANNON DR, SUITE 401
AUSTIN, TX 78745
Travis County (512) 416-7246
DR. JAMES C FUSELIER DDS MD
Dentist (Oral and Maxillofacial Surgery)
2501 W WILLIAM CANNON DR, SUITE 6B
AUSTIN, TX 78745
Travis County (512) 447-6684
SIMON GARZA JR. D.D.S. P.C.
Dentist (General Practice)
2501 W WILLIAM CANNON DR, BLDG 1 UNIT 101
AUSTIN, TX 78745
Travis County (512) 445-7070
MS. PAMELA J STEELE MS MA LPC
Counselor (Professional)
2501 W WILLIAM CANNON DR, SUITE 401
AUSTIN, TX 78745
Travis County (512) 416-7246
VONZEE INTERESTS LLC
Counselor (Mental Health)
2501 W WILLIAM CANNON DR, BUILDING 6, SUITE A
AUSTIN, TX 78745
Travis County (512) 344-9181
MR. ROBERT BRENT WHALIN M.S. P.T.
Physical Therapist
2501 W WILLIAM CANNON DR, SUITE 302
AUSTIN, TX 78745
Travis County (512) 416-7246

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 Brad Theriot's NPI number?

The NPI number for Brad Theriot is 1649242132. It was assigned to this individual provider in the NPPES registry on February 7, 2006.

Where is Brad Theriot located?

Brad Theriot practices at 2501 W William Cannon Dr Suite 6B, Austin, TX 78745. The listed phone number is (512) 447-6684.

What is Brad Theriot's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Brad Theriot was last updated on September 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.