DR. JOHN G BRADY (NPI# 1649210105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649210105 |
| Entity Type | Individual |
| Full Name | DR. JOHN G BRADY |
| Credential | M.D. |
| Practice Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Mailing Address |
200 E Washington St P O Box 8031 Appleton WI 54911-5490 |
| Practice Telephone | 9204333653 |
| Mailing Telephone | 8002361489 |
| Mailing Fax Number | 9207390124 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
38802-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32431000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720489198 | John Matthew Brady | Behavioral Analyst | 1020 Gilbert Rd, Rockville, MD 20851-1317 | 2014-09-04 |
| 1558706101 | John Richard Brady Iv | Licensed Vocational Nurse | 3047 Lloyd St, San Diego, CA 92117-6033 | 2013-05-08 |
| 1174860738 | John Samuel Brady | Pharmacist | 16025 N 33rd Ave, Phoenix, AZ 85053-3814 | 2013-01-15 |
| 1205141678 | John Brady | Dentist | 515 7th Ave Ste 220, Fairbanks, AK 99701-4949 | 2010-08-10 |
| 1568600872 | John P. Brady | Dentist | 15 Canal Rd., Dentserv, Pelham Manor, NY 10803-9905 | 2009-01-23 |
| 1174694236 | John Joseph Brady Jr. | Dentist | 28 E Broad St, W Hazleton, PA 18202-3810 | 2006-11-12 |
| 1639118383 | John E Brady | Family Medicine | 10234 Warwick Blvd, Newport News, VA 23601 | 2006-06-06 |
| 1154382513 | John Brady | Family Medicine | 1801 Us Highway 18 E, Clear Lake, IA 50428-2162 | 2006-03-28 |
| 1548257546 | John Greg Brady | Dermatology | 798 Hausman Rd, Suite 310, Allentown, PA 18104-9108 | 2005-10-04 |
| 1801888474 | John William Brady Jr. | Dermatology | 8650 Sudley Road, Suite 310, Manassas, VA 20110-4416 | 2005-08-18 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1386264521 | Brian Joseph Eggener | Radiology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922231414 | Darrell Peter Skarphol | Pathology | 2480 Edgewood Ct, Green Bay, WI 54302-4813 | 2009-08-31 |
| 1053346205 | Matthew L Snyder | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-07-12 |
| 1124262480 | Oliver Graf | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2009-04-29 |
| 1497835862 | Matthew P Walters | Pathology | 2845 Greenbrier Road, Green Bay, WI 54311 | 2006-10-17 |
| 1487670360 | Paul R Holzman | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
| 1225054992 | Robert Joseph Murphy | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-14 |
| 1942235353 | Timothy L Chamberlain | Pathology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-07-12 |
| 1821021239 | Robert Thomas Cutlan | Pathology | 1726 Shawano Ave, Green Bay, WI 54303-3216 | 2006-07-09 |
| 1255370789 | Thomas S Fredeen | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| 1407896962 | Denise A Kennedy | Pathology | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2006-06-06 |
| Find all providers in GREEN BAY | ||||
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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.