JOHN EDWARD BRADY (NPI# 1972758969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972758969 |
| Entity Type | Individual |
| Full Name | JOHN EDWARD BRADY |
| Credential | ATC, PES |
| Practice Address |
3350 Gratiot Blvd Suite E Marysville MI 48040-2121 |
| Mailing Address |
3811 Cedar Ridge Dr Fort Gratiot MI 48059-3759 |
| Practice Telephone | 8103641230 |
| Practice Fax Number | 8103640483 |
| Mailing Telephone | 8108410503 |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| 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 |
3350 GRATIOT BLVD SUITE E |
| City | MARYSVILLE |
| State | MI |
| Zip Code | 48040-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871569798 | Pietro A Cavataio | Family Medicine | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2006-02-28 |
| 1215432927 | Melissa Shimshock | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2018-03-26 |
| 1972021319 | Kelly Wright | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2017-09-06 |
| 1508398405 | Patricia Kindsvater | Family Medicine | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2017-03-30 |
| 1760871933 | Catherine Rae Vance | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2015-01-12 |
| 1568872695 | Naila Christine Russell | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2014-04-28 |
| 1326474248 | Jessica Ann Onufrak | Nurse Practitioner | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2013-09-24 |
| 1114235413 | Scott B Mccormick | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2010-09-21 |
| 1710154521 | Marianne Dolores Mckissick | Physician Assistant | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2008-05-12 |
| 1093921074 | Physician Healthcare Network, PC | Clinic/Center | 3350 Gratiot Blvd, Marysville, MI 48040-2121 | 2007-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902106032 | Sheila Washington | Technician | 1600 Gratiot, Marysville, MI 48040 | 2010-10-22 |
| 1861522666 | Kriste Charlene Hollenbaugh | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-07 |
| 1083760169 | Patrick August Deview | Optometrist | 3160 Gratiot, Marysville, MI 48040 | 2007-01-25 |
| 1346305133 | Meijer Inc | Durable Medical Equipment & Medical Supplies | 205 S Range Rd, Marysville, MI 48040 | 2006-12-22 |
| 1225143514 | City of Marysville | Ambulance | 1355 Delaware Avenue, Marysville, MI 48040 | 2006-08-20 |
| 1033603063 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 205 S Range Rd, Marysville, MI 48040 | 2018-06-22 |
| 1154449635 | Brenda Carolyn Hayden | Pharmacist | 1750 Gratiot Blvd, Marysville, MI 48040 | 2007-03-26 |
| 1235696956 | Lisa Curtis | Licensed Practical Nurse | 35 Carolina, Marysville, MI 48040-1011 | 2019-02-28 |
| 1447268529 | Karlene S. Harbour | Social Worker | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-08-04 |
| 1316020688 | Ks Harbour Consulting | Community/Behavioral Health | 501 Gratiot Blvd, Suite 4, Marysville, MI 48040-1124 | 2006-10-23 |
| Find all providers in zip 48040 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125645 | Shea Eugene Caperoon | Specialist/Technologist | 7416 46th Pl Ne, Marysville, WA 98270-8967 | 2019-07-10 |
| 1700319027 | Daniel Joseph Desmond V | Specialist/Technologist | 12 E 18th St, Marysville, CA 95901 | 2017-04-04 |
| 1720510340 | Austin James Parr | Specialist/Technologist | 1919 B St, Marysville, CA 95901 | 2017-04-02 |
| 1316391568 | Daniel Joseph Vodzak | Specialist/Technologist | 3 Reed Dr, Marysville, PA 17053-9763 | 2016-04-13 |
| 1821454885 | Kaitlyn Brown | Specialist/Technologist | 1693 La Costa Dr, Marysville, OH 43040-7026 | 2016-01-06 |
| 1548638612 | Elizabeth Weaver | Specialist/Technologist | 11720 81st Ave Ne, Marysville, WA 98271-7636 | 2015-09-08 |
| 1932587102 | Brittany Pease | Specialist/Technologist | 18001 Dog Leg Rd, Marysville, OH 43040-9273 | 2015-05-08 |
| 1003149345 | Keith A Tebbe | Specialist/Technologist | 120 Coleman's Crossing Blvd., Marysville, OH 43040 | 2009-09-17 |
| 1790998946 | Katherine R Roeckner | Specialist/Technologist | 1659 Bay Laurel Dr, Marysville, OH 43040-9631 | 2007-05-07 |
| 1982095618 | Stephanie Sparks | Specialist/Technologist | 500 London Ave, Marysville, OH 43040-5512 | 2015-02-17 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 48040 |
Please comment or provide details below to improve the information on JOHN EDWARD BRADY.
| 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.