# BRADLEY W NORDYKE MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609925312
- **Authorized official:** DR. BRADLEY W NORDYKE M.D. (OWNER)
- **Authorized official phone:** (956) 982-1696

## Contact information

- **Practice address:** 3914 PAREDES LINE RD, BROWNSVILLE, TX 78526-1184
- **Practice address phone:** (956) 982-1696
- **Practice address fax:** (956) 982-2256
- **Mailing address:** 3914 PAREDES LINE RD, BROWNSVILLE, TX 78526-1184
- **Mailing address phone:** (956) 982-1696
- **Mailing address fax:** (956) 982-2256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | J7115 | TX | Yes |

## Other

- **Enumeration date:** 01/10/2007
- **Last updated:** 07/21/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 146384601 | — | TX |
| 05 | — | 146384602 | — | TX |