Provider Demographics
NPI:1023994084
Name:CLAYTON, BRADY ALAN (AUD)
Entity type:Individual
Prefix:
First Name:BRADY
Middle Name:ALAN
Last Name:CLAYTON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 OLD FARM RD APT 174
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-6922
Mailing Address - Country:US
Mailing Address - Phone:661-342-7241
Mailing Address - Fax:
Practice Address - Street 1:12500 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93314-9649
Practice Address - Country:US
Practice Address - Phone:661-564-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4077231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist