DR. WILLIAM BRADY (NPI# 1063932580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063932580 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM BRADY |
| Credential | DO |
| Practice Address |
999 W Plymouth Ave Deland FL 32720 |
| Mailing Address |
999 W Plymouth Ave Deland FL 32720-3134 |
| Practice Telephone | 3867407080 |
| Mailing Telephone | 3867407080 |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OS15517 | FL | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1638 Owen Dr # 138, Fayetteville, NC 283043424 | (910) 615-4530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457605008 | William Brady | Pharmacist | 505 Laurens Rd, Woodruff, SC 29388-2209 | 2012-11-05 |
| 1982896262 | William Henry Brady IIi | Preventive Medicine | Los Alamos National Laborabory, Ms D421, Los Alamos, NM 87545-0001 | 2007-08-10 |
| 1235249244 | William James Brady Jr. | Chiropractor | 406 Pointe Tremble, Algonac, MI 48001 | 2006-08-30 |
| 1225142540 | William Alex Brady | Psychiatry & Neurology | 250 Executive Park Blvd, Suite 120, Winston-salem, NC 27103 | 2006-08-17 |
| 1477564086 | William Chris Brady | Dentist | 2915 S Georgia St, Amarillo, TX 79109-3436 | 2006-08-10 |
| 1790710002 | William Jeffrey Brady | Internal Medicine | 3111 Professional Drive, Auburn, CA 95603 | 2006-07-12 |
| 1508855081 | William Arthur Brady | Speech-Language Pathologist | 7655 Spring Park Dr, Boardman, OH 44512-5328 | 2005-10-18 |
| 1225661606 | William Brady | Counselor | 8324 Skokie Blvd, Skokie, IL 60077-2545 | 2020-02-13 |
| 1417517483 | William Thomas Brady | Physician Assistant | 100 N Academy Ave, Danville, PA 17822-9800 | 2019-06-20 |
| 1437600137 | William Jay Brady | Chiropractor | 3301 Belair Rd, Baltimore, MD 21213-1257 | 2016-10-18 |
| Street Address |
999 W PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386670420 | Stephanie Dawn Stovall | Physician Assistant | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-06-23 |
| 1003230640 | Deborah Vega Darnell | Nurse Practitioner | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2014-02-18 |
| 1427239888 | Family Practice of West Volusia, P.a. | Family Medicine | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2007-11-14 |
| 1023145752 | Mary Theresa Izzo | Nurse Practitioner | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2007-02-28 |
| 1043324148 | Casey V Wilson | Physician Assistant | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-08-18 |
| 1922027853 | Bruce Glenn Rankin | Family Medicine | 999 W Plymouth Ave, Deland, FL 32720-3134 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679171532 | Kimberlee C Del Campo | Nurse Practitioner | 1590 S, State Highway 15a, Deland, FL 32720 | 2020-10-13 |
| 1699304840 | Grace Haven LLC | In Home Supportive Care | 805 S Stone St, Deland, FL 32720 | 2020-04-08 |
| 1609407766 | Michelle Rene' Tutt | Nurse Practitioner | 1590 South State Hwy 15a, Deland, FL 32720 | 2020-01-28 |
| 1902448715 | Volusia Medical Center LLC | Family Medicine | 850 N. Stone Street, Deland, FL 32720 | 2019-10-14 |
| 1548748957 | Christopher Lee Paik | Internal Medicine | 107 N Stone St, St A, Deland, FL 32720 | 2018-07-30 |
| 1164961041 | Melissa Sorensen | Counselor | 970 N Spring Ave, 523, Deland, FL 32720 | 2017-02-13 |
| 1669910329 | Stefanie Briann Yockey | Counselor | 804 N. Woodland Blvd., Deland, FL 32720 | 2017-02-02 |
| 1144648809 | Steven Shinn | Internal Medicine | 1590 S Sr 15a Ste 100, Deland, FL 32720 | 2014-03-31 |
| 1164843710 | Malgorzata Anna Szelwach | Occupational Therapist | 1590 State Rt 15a Suite B, Deland, FL 32720 | 2013-12-29 |
| 1730510926 | Adriana Marquez | Community/Behavioral Health | 33218 Tomahawk Trail, Deland, FL 32720 | 2013-12-12 |
| Find all providers in zip 32720 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124568902 | Dwic of Tampa Bay, Inc | General Practice | 1328 N Woodland Blvd, Deland, FL 32720-2203 | 2017-02-28 |
| 1700842499 | James Maurice Bentley | General Practice | 650 W Plymouth Ave, Deland, FL 32720-3260 | 2006-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
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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.