MICHAEL B BRADY (NPI# 1336186980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336186980 |
| Entity Type | Individual |
| Full Name | MICHAEL B BRADY |
| Credential | MD |
| Practice Address |
5959 Park Ave Radiology Department Memphis TN 38119-5200 |
| Mailing Address |
Po Box 171206 Memphis TN 38187-1206 |
| Practice Telephone | 9017653212 |
| Practice Fax Number | 9017651727 |
| Mailing Telephone | 9017653212 |
| Mailing Fax Number | 9017651727 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2011-06-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD015910 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 113551001 | 05 | |
| MO | 202652509 | 05 | |
| MS | 00116062 | 05 | |
| TN | 3035139 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316246259 | Michael Brian Brady | Pharmacist | East Hiway 18, Pine Ridge, SD 57770-1201 | 2011-03-17 |
| 1548565781 | Michael J Brady | Marriage & Family Therapist | 905 Pico Blvd, Santa Monica, CA 90405-1326 | 2011-01-19 |
| 1275853715 | Michael Raymond Brady | Family Medicine | 13471 W. Cornerstone Blvd, Goodyear, AZ 85395 | 2010-06-07 |
| 1104047760 | Michael Brady | Counselor | 11421 Clear Creek Drive, Pensacola, FL 32514 | 2007-05-01 |
| 1366530271 | Michael Scott Brady | Psychologist | 726 Franklin Ave, Grand Haven, MI 49417-3401 | 2006-10-10 |
| 1043307622 | Michael S Brady | Chiropractor | 352 East Butler Ave., Suite A, New Britain, PA 18901 | 2006-10-06 |
| 1457361883 | Michael E Brady | Dentist | 181 Orchard Rd, Bennington, VT 05201-9001 | 2006-08-08 |
| 1528010246 | Michael N. Brady | Internal Medicine | 320 Margie Dr, Warner Robins, GA 31088-7817 | 2006-05-17 |
| 1184620361 | Michael Thomas Brady | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2005-06-22 |
| 1538667589 | Michael Brady | Counselor | 409 N Cooper St, Santa Ana, CA 92703-2409 | 2018-01-24 |
| Street Address |
5959 PARK AVE RADIOLOGY DEPARTMENT |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38119-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361576 | Nadine Roux | Physical Therapist | 5959 Park Ave, Memphis, TN 38119-5200 | 2005-08-01 |
| 1932708054 | Healthcare Network Tennessee, Inc. | Neurological Surgery | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-10-20 |
| 1043824279 | Methodist Healthcare East Hospital | Rehabilitation Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1356955579 | Methodist Healthcare East Hospital | General Acute Care Hospital | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1346854577 | Methodist Healthcare East Hospital | Psychiatric Unit | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-09-04 |
| 1154931657 | Kevin Albert Stahl | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-08-09 |
| 1558979658 | Jessica Anne Raebel | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2020-07-15 |
| 1023678588 | Hanah Rose Cates | Physician Assistant | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-06-17 |
| 1528621273 | Joshua Ryan Godsey | Nurse Anesthetist, Certified Registered | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-04-18 |
| 1750846283 | Daniel Neu | Pharmacist | 5959 Park Ave, Memphis, TN 38119-5200 | 2019-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417469628 | Jojuan Fullwiley | Behavioral Analyst | 6685 Quince Rd Ste 116, Memphis, TN 38119 | 2017-10-27 |
| 1336675297 | Jill Budynas Depriest | Counselor | 5583 Murray Ave Ste 203, Memphis, TN 38119 | 2017-05-11 |
| 1396279220 | Glen Matthew Stamps Jr. | Counselor | 5583 Murray Ave Ste 207, Memphis, TN 38119 | 2017-04-18 |
| 1598117442 | Hazel Aberdeen | Chiropractor | 1911 Memphis Tennessee, Memphis, TN 38119 | 2016-07-04 |
| 1831569060 | E-c-t Non Emergency Medical Transport | Non-emergency Medical Transport (VAN) | 6869 Woodlake Dr, Memphis, TN 38119 | 2015-09-30 |
| 1053781617 | Astrid Roman | Dietitian, Registered | 8020 Hillside Cv, Memphis, MS 38119 | 2015-09-25 |
| 1467857664 | Allan Jacob Katz | Counselor | 5668 Rex Rd, Suite 104, Memphis, TN 38119 | 2014-10-30 |
| 1962836015 | Judy Ann Harrick | Acupuncturist | 5575 Poplar Ave., #702, Memphis, TN 38119 | 2013-08-26 |
| 1366791949 | Jennifer Denyes Bidelman | Audiologist | 5625 Poplar Avenue, Memphis, TN 38119 | 2012-08-29 |
| 1578833620 | Elizabeth Mary Dion-douglass | Pharmacist | 2891 Kirby Parkway, Memphis, TN 38119 | 2012-01-06 |
| Find all providers in zip 38119 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417197 | West Clinic, P. C. | Radiology | 5999 Manor Cv, Memphis, TN 38120-3105 | 2020-11-04 |
| 1114528205 | West Clinic, P. C. | Radiology | 708 W Suggs Dr, Memphis, TN 38120-2741 | 2020-11-04 |
| 1447851530 | West Clinic, P. C. | Radiology | 5740 The Forest Gate Rd, Memphis, TN 38120-2540 | 2020-11-04 |
| 1720689169 | West Clinic, P. C. | Radiology | 5396 Gwynne Rd, Memphis, TN 38120-1908 | 2020-11-03 |
| 1558990788 | Sanitas Medical Center of Tennessee PC | Radiology | 438 N Cleveland St, Memphis, TN 38104-7014 | 2020-04-08 |
| 1912394495 | Eniola Oladosu Fagbongbe | Radiology | 1265 Union Ave, 7 Thomas Wing, Room 707, Memphis, TN 38104 | 2015-04-22 |
| 1033554589 | Phillip Osborn Flinn | Radiology | 1325 Eastmoreland Ave Ste 545, Memphis, TN 38104-7510 | 2013-05-09 |
| 1952656316 | William Eugene Long | Radiology | 155 Trezevant View Pl, Memphis, TN 38111-4759 | 2012-07-20 |
| 1720377583 | Adeel Siddiqui | Radiology | 848 Adams Ave Ground Fl, Memphis, TN 38103 | 2011-04-01 |
| 1497055081 | Stephen Lane Gammill Sr. | Radiology | 2935 Iroquois Rd, Memphis, TN 38111-2615 | 2010-10-28 |
| Find all providers in MEMPHIS | ||||
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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.