MARY LEE BRADY (NPI# 1518965227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518965227 |
| Entity Type | Individual |
| Full Name | MARY LEE BRADY |
| Credential | D.C. |
| Practice Address |
8712 Frankford Ave 1a Philadelphia PA 19136-1300 |
| Practice Telephone | 2153327828 |
| Practice Fax Number | 2153327824 |
| Mailing Telephone | 2153327828 |
| Mailing Fax Number | 2153327824 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2016-05-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC-002993-L | PA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE FIRST | 1059212 | 01 |
| PA | KEYSTONE 65 | 0061117000 | 01 |
| PA | PERSONAL CHOICE | 187672 | 01 |
| PA | 1013353 | 05 | |
| PA | KEYSTONE EAST | 0061117000 | 01 |
| PA | BLUE CROSS & BLUE SHIELD | 187672 | 01 |
| PA | MEDICARE | 187672 | 01 |
| Street Address |
8712 FRANKFORD AVE 1A |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19136-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361274 | Mary Ann Theresa Mcintyre | Social Worker | 3501 Solly Avenue, Philadelphia, PA 19136 | 2018-10-11 |
| 1396227732 | Chiropractor Dynamic PC | Chiropractor | 7337 Frankford Ave, Philadelphia, PA 19136 | 2018-09-01 |
| 1932689478 | Jenna Nicole Harrison | Physical Therapist | 7343-7345 Frankford Avenue, Philadelphia, PA 19136 | 2018-08-15 |
| 1063932069 | Rachel Alexa Allen | Counselor | 3254 Teesdale Street, Philadelphia, PA 19136 | 2017-06-21 |
| 1962944371 | Erin Hartey | Counselor | 4323 Vista St, Phila, PA 19136 | 2016-11-16 |
| 1932657715 | Janice Lisette Frisby | Counselor | 8454 Jackson Street, Philadelphia, PA 19136 | 2016-09-21 |
| 1326428541 | General Healthcare Agency | Community/Behavioral Health | 4616 Ashville St, Philadelphia, PA 19136 | 2015-06-03 |
| 1215314653 | Sincere Home Health Care Service | In Home Supportive Care | 4510 Aberdale Road, Philadelphia, PA 19136 | 2015-05-06 |
| 1497159420 | Creative Steps Incorporated | Clinic/Center | 8045 Frankford Avenue, Philadelphia, PA 19136 | 2014-10-20 |
| 1316379779 | Epic Physicians L.L.C. | Clinic/Center | 8021 Frankford Ave, Philadelphia, PA 19136 | 2013-08-07 |
| Find all providers in zip 19136 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628540 | Citywide North, PC | Chiropractor | 2304-a North Broad Street, Philadelphia, PA 19132-4563 | 2020-10-26 |
| 1598313488 | Dev Avinash Rajhansa | Chiropractor | 101 W Allens Ln, Philadelphia, PA 19119-4101 | 2019-09-03 |
| 1861059859 | Joshua James Kramarenko | Chiropractor | 1608 Walnut St Ste 601, Philadelphia, PA 19103-5447 | 2019-05-24 |
| 1306409024 | Danielle Louise Walsh | Chiropractor | 3500 Scotts Ln Ste 215, Philadelphia, PA 19129-1836 | 2019-04-18 |
| 1952868804 | Yoon Sang Song | Chiropractor | 6115 Woodland Ave, Philadelphia, PA 19142-2418 | 2019-02-27 |
| 1104381011 | Anthony James Havens Jr. | Chiropractor | 6006 Chestnut St Fl 1, Philadelphia, PA 19139-3044 | 2019-02-05 |
| 1750851390 | Philadelphia Pain and Neurology Institute, LLC | Chiropractor | 1528 Walnut Street Suite 620, Philadelphia, PA 19102 | 2018-11-27 |
| 1710467626 | Darin Mathew Daniel | Chiropractor | 2216 W Passyunk Ave, Philadelphia, PA 19145-3318 | 2018-08-20 |
| 1780184952 | Chelsea Ann Mclane | Chiropractor | 430 Green Ln, Philadelphia, PA 19128-3304 | 2018-02-14 |
| 1881193860 | Pa Pain and Rehab | Chiropractor | 6325 Woodland Avenue, Philadelphia, PA 19142 | 2018-02-06 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19136 |
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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.