ROBERT G BRADY (NPI# 1578666863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578666863 |
| Entity Type | Individual |
| Full Name | ROBERT G BRADY |
| Credential | PT |
| Practice Address |
2450 Velp Ave Ste 107b Green Bay WI 54303-6593 |
| Mailing Address |
2836 Steamboat Springs Run Green Bay WI 54313-9220 |
| Practice Telephone | 9208571622 |
| Mailing Telephone | 9206801599 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 9918-24 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40375700 | 05 | |
| WI | LICENSE NUMBER | 9918-024 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1630 Commanche Ave, Green Bay, WI 543135753 | 9204304756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629192521 | Robert Paul Brady | Clinical Neuropsychologist | 9166 Beech Dr, Reading, MI 49274-9235 | 2007-03-17 |
| 1649383233 | Robert Brady | Chiropractor | 2929 Custer Rd, Suite 320, Plano, TX 75075-4418 | 2006-08-16 |
| 1144229840 | Robert Lee Brady | Orthopaedic Surgery | 761 Main Ave Ste 115, Norwalk, CT 06851-1080 | 2005-07-15 |
| 1255932521 | Robert Brady | Pharmacist | 1400 Hudson Bridge Rd, Stockbridge, GA 30281-5018 | 2020-11-03 |
| 1306235866 | Robert Brady | Massage Therapist | 150 E Huron St, Suite 1100, Chicago, IL 60611-2999 | 2015-01-21 |
| 1184995987 | Robert Brady | Pathology | 2200 Bergquist Dr, Suite 1 (pathology Department), Lackland, TX 78236-9907 | 2012-01-25 |
| 1588943781 | Robert E Brady | Psychologist | 1 Medical Center Dr, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03756-1000 | 2011-08-05 |
| 1407954605 | Robert Brady | Physical Therapist | 4070 West St, Cambria, CA 93428-3023 | 2006-09-20 |
| 1992718423 | Robert Brady | Obstetrics & Gynecology | 500 W Thomas Rd, Suite 800, Phoenix, AZ 85013-4224 | 2006-08-14 |
| 1003820184 | Robert Harry Brady | Psychiatry & Neurology | 1430 Olive St, Suite 500, Saint Louis, MO 63103-2303 | 2006-07-27 |
| Street Address |
2450 VELP AVE STE 107B |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-6593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1770930083 | Alex Kasel | Physical Therapist | 2502 S Ashland Ave, Green Bay, WI 54304-5252 | 2016-05-17 |
| 1083886758 | Wojciech Jerzy Narkiewicz-jodko | Physical Therapist | 2100 Riverside Dr, Green Bay, WI 54301-2375 | 2008-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| 1417186636 | Benjamin Solheim | Physical Therapist | 930 S 17th Ave, Wausau, WI 54401-5739 | 2009-07-09 |
| 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.