WALTER GRANT BRALY (NPI# 1285622795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285622795 |
| Entity Type | Individual |
| Full Name | WALTER GRANT BRALY |
| Credential | M.D. |
| Practice Address |
7401 South Main St Houston TX 77030-4509 |
| Practice Telephone | 7137992300 |
| Practice Fax Number | 7137943380 |
| Mailing Telephone | 7137992300 |
| Mailing Fax Number | 7137943384 |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2015-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
F3774 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MEDICARE ID | 086M124 | 01 |
| TX | 133937603 | 05 |
| Street Address |
7401 SOUTH MAIN ST |
| City | HOUSTON |
| State | TX |
| Zip Code | 77030-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154314714 | James B Bennett | Surgery | 7401 South Main St, Fondren Orthopedic Group L.l.p., Houston, TX 77030-4509 | 2005-08-29 |
| 1952470262 | Barrett Shytles Brown | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2006-11-08 |
| 1134166192 | Orthopedic Hospital Ltd | General Acute Care Hospital | 7401 South Main St, Houston, TX 77030-4509 | 2006-05-31 |
| 1609830595 | Fondren Orthopedic Group L.l.p. | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2006-04-17 |
| 1699741520 | James Michael Bennett | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2006-02-28 |
| 1861480238 | Gregory W Stocks | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2005-10-11 |
| 1891783304 | Gary T Brock | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2005-10-10 |
| 1619965126 | Carter Craig Crouch | Surgery | 7401 South Main St, Fondren Orthopedic Group L.l.p., Houston, TX 77030-4509 | 2005-10-10 |
| 1528056033 | Thomas Bradley Edwards | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2005-10-10 |
| 1861480386 | Mark R Brinker | Orthopaedic Surgery | 7401 South Main St, Houston, TX 77030-4509 | 2005-10-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770852 | Mchaji Celestaine | Pharmacist | Medvamc 2002 Holcombe Blvd, Outpatient Pharmacy, Houston, TX 77030 | 2020-11-04 |
| 1730702598 | Christopher A Mcmillian | Student in an Organized Health Care Education/Training Program | Houston Methodist Department of Surgery, 6550 Fannin St., Smith Tower 1661, Houston, TX 77030 | 2020-05-27 |
| 1245852698 | Mostafa Hotait | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street 9a, Houston, TX 77030 | 2020-05-08 |
| 1790307288 | Ayushi Jayesh Shah | Student in an Organized Health Care Education/Training Program | 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 | 2020-05-07 |
| 1932720836 | Vera Whole Health Wa, PC | Clinic/Center | 6620 Main St, 12th Flr, Ste 1225, Houston, TX 77030 | 2020-05-01 |
| 1548881808 | Mobitz Heart and Rhythm Center Pllc | Internal Medicine | Scurlock Tower, 6560 Fannin St., Houston, TX 77030 | 2020-04-28 |
| 1710516513 | Thomas Chi Han Lu | Student in an Organized Health Care Education/Training Program | 6431 Fannin Street, Msb 3.151, Houston, TX 77030 | 2020-04-03 |
| 1063041085 | Kevin Tang | Student in an Organized Health Care Education/Training Program | 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 | 2020-04-02 |
| 1831728898 | Taylor Renbarger | Student in an Organized Health Care Education/Training Program | 6431 Fannin St Suite Jjl 431, Houston, TX 77030 | 2020-04-02 |
| 1972131423 | Sindhu R Rao | Student in an Organized Health Care Education/Training Program | 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 | 2020-03-31 |
| Find all providers in zip 77030 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598012148 | Douglas Odin Hansen | Orthopaedic Surgery | 6699 Chimney Rock Rd Ste 102, Houston, TX 77081-5339 | 2012-08-13 |
| 1043576176 | Jesus Armando Juarez | Orthopaedic Surgery | 1045 Gemini St Ste 100, Houston, TX 77058 | 2012-04-03 |
| 1588693386 | Pedro Eugenio Cosculluela | Orthopaedic Surgery | 6550 Fannin St Ste 2600, Houston, TX 77030-2750 | 2006-07-02 |
| 1891731303 | Kevin Varner | Orthopaedic Surgery | 6550 Fannin St, Suite 2600, Houston, TX 77030-2717 | 2006-06-22 |
| 1528056959 | Jay C Oates | Orthopaedic Surgery | 7401 Main St, Houston, TX 77030-4509 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730647074 | Nix Physicians Inc. | Orthopaedic Surgery | 110 E Bandera Rd, Boerne, TX 78006-2802 | 2019-03-06 |
| 1881958940 | Michael James Frazier | Orthopaedic Surgery | 12609 Louetta Rd Ste B, Cypress, TX 77429-5136 | 2012-07-03 |
| 1952344657 | Andrew Marshall Ebert | Orthopaedic Surgery | 4611 Guadalupe St Ste 200, Austin, TX 78751-2928 | 2006-06-13 |
| 1013962810 | Stacy Anne Bacon | Orthopaedic Surgery | 21212 Northwest Fwy Ste 605, Cypress, TX 77429-5889 | 2006-05-23 |
| 1134189178 | Texas Tech University Health Sciences Center El Paso | Orthopaedic Surgery | 4801 Alberta Ave., 230c, El Paso, TX 79905 | 2006-03-24 |
| 1679544308 | William C Mcgarvey | Orthopaedic Surgery | 23920 Katy Freeway, Ste 160, Katy, TX 77494 | 2006-01-31 |
| 1235114927 | Darryl D Cuda | Orthopaedic Surgery | 8800 Village Dr, Suite 101, San Antonio, TX 78217-5412 | 2005-12-14 |
| 1629682919 | Central Texas Orthopaedic Foot and Ankle Center, Pllc | Orthopaedic Surgery | 5100 Franklin Ave, Waco, TX 76710-6922 | 2020-09-03 |
| 1023654258 | Chad M Kennedy Md Pa | Orthopaedic Surgery | 1600 S Coulter St Ste B, Amarillo, TX 79106-0703 | 2019-11-22 |
| 1770987422 | All Pro Rehabilitation, LLC | Orthopaedic Surgery | 4444 Heritage Trace Pkwy, Ste 404, Fort Worth, TX 76244 | 2014-10-09 |
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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.