DR. MARK RICHARD BRADY (NPI# 1992768766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992768766 |
| Entity Type | Individual |
| Full Name | DR. MARK RICHARD BRADY |
| Credential | M.D. |
| Practice Address |
322 Mulberry St Sw Suite A Lenoir NC 28645-5702 |
| Mailing Address |
321 Mulberry St Sw Medical Staff Services Lenoir NC 28645-5720 |
| Practice Telephone | 8287576463 |
| Practice Fax Number | 8287576424 |
| Mailing Telephone | 8287575965 |
| Mailing Fax Number | 8287575104 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2016-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
200400014 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
200400014 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 138G8 | 01 |
| NC | RAILROAD MEDICARE | P00461398 | 01 |
| NC | 89138G8 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356787923 | Mark Charles Brady | Physical Therapy Assistant | 40 W 36th Ave, Spokane, WA 99203-1621 | 2013-05-22 |
| 1982973897 | Mark A Brady | Health Educator | 418 W 47th St, #4fw, New York, NY 10036-2395 | 2011-12-21 |
| 1265660294 | Mark Brady | Emergency Medicine | 593 Eddy St, Claverick 2, Providence, RI 02903-0290 | 2009-06-29 |
| 1255545620 | Mark Roland Brady | Perfusionist | 600 Mary St, Evansville, IN 47747-0001 | 2007-05-09 |
| 1649349994 | Mark Brady | Physician Assistant | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2006-11-08 |
| 1134195217 | Mark D. Brady | Anesthesiology | 9100 W 74th St, Shawnee Mission, KS 66204-4004 | 2006-02-27 |
| 1366439630 | Mark Brady | Emergency Medicine | 1423 N Jefferson Ave, Springfield, MO 65802-1917 | 2005-10-03 |
| 1124028170 | Mark J Brady | Chiropractor | 108 S Main St, Munroe Falls, OH 44262-1638 | 2005-07-29 |
| Street Address |
322 MULBERRY ST SW SUITE A |
| City | LENOIR |
| State | NC |
| Zip Code | 28645-5702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023504685 | Emily Combs | Nurse Practitioner | 322 Mulberry St Sw, Lenoir, NC 28645-5702 | 2018-07-07 |
| 1104355775 | Samuel James Hester | Audiologist | 322 Mulberry St Sw, Lenoir, NC 28645-5702 | 2017-06-07 |
| 1407380504 | Mari Lee | Nurse Practitioner | 322 Mulberry St Sw, Lenoir, NC 28645-5702 | 2017-04-14 |
| 1215310081 | Emma Barnard | Audiologist | 322 Mulberry St Sw, Suite C, Lenoir, NC 28645-5702 | 2015-06-29 |
| 1871830679 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 322 Mulberry St Sw, Suite G, Lenoir, NC 28645-5702 | 2013-01-14 |
| 1588943278 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 322 Mulberry St Sw, Suite A, Lenoir, NC 28645-5702 | 2011-08-11 |
| 1700184470 | Caldwell Memorial Hosptial, Inc | Audiologist | 322 Mulberry St Sw, Suite C, Lenoir, NC 28645-5702 | 2011-03-04 |
| 1538365184 | Shannon Kay Waters | Physician Assistant | 322 Mulberry St Sw, Suite A, Lenoir, NC 28645-5702 | 2007-06-21 |
| 1417178591 | Ruihai Zhou | Internal Medicine | 322 Mulberry St Sw, Suite F, Lenoir, NC 28645-5702 | 2007-05-02 |
| 1861553950 | Charles Larry Lutz | Internal Medicine | 322 Mulberry St Sw, Suite A, Lenoir, NC 28645-5702 | 2006-12-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477174597 | Healthstat Onsite Clinic Mccreary Modern Plant 6 | Preventive Medicine | 2961 Rocky Road, Lenoir, NC 28645 | 2020-04-29 |
| 1912485780 | Brandi Fitzgerald Newell | Nurse Practitioner | 902 Kirkwood Street Nw, Lenoir, NC 28645 | 2018-08-02 |
| 1568911345 | Kimberly Fletcher | Physical Therapist | 1031 Morganton Blvd. Sw, Lenoir, NC 28645 | 2016-09-22 |
| 1093115743 | Dana May Yang | Pharmacist | 875 Blowing Road Blvd, Lenior, NC 28645 | 2014-08-31 |
| 1659780542 | Brinkley & Associates of Lenoir | Dentist | 230 Morganton Boulevard Sw, Lenoir, NC 28645 | 2014-08-05 |
| 1194148858 | Cheryl Ann Simpson | Contractor | 7951 Rocky Knob Rd, Lenoir, NC 28645 | 2014-01-30 |
| 1013266048 | Mccreary Cancer Center | Clinic/Center | 212 Mulberry Street Sw, Lenoir, NC 28645 | 2012-09-06 |
| 1356651145 | Anthony Kwasi Essien | Pharmacist | 102 Harper Ave., Lenoir, NC 28645 | 2010-10-14 |
| 1033344866 | Thomas J Young | Surgery | 401 Mulberry Street, Sw, Suite 202, Lenoir, NC 28645 | 2009-05-22 |
| 1821238155 | Mark C Kammer | Physical Therapist | 1041 Morganton Blvd, Ste 200, Lenoir, NC 28645 | 2009-02-26 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023201431 | Stephen Carlisle Scott | Internal Medicine | 825 Powell Rd, Lenoir, NC 28645-3739 | 2007-08-20 |
| 1184620593 | John Albert Dew Jr. | Internal Medicine | 321 Mulberry St Sw, Caldwell Acute Care Specialists, Lenoir, NC 28645-5720 | 2005-06-22 |
| 1588943278 | Caldwell Memorial Hospital, Inc. | Internal Medicine | 322 Mulberry St Sw, Suite A, Lenoir, NC 28645-5702 | 2011-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982185377 | Fhpg, LLC | Internal Medicine | 2925 Beechtree Dr, Suite 142, Sanford, NC 27330 | 2018-08-24 |
| 1871034595 | Jane Tramontana | Internal Medicine | 2611 Creek Manor Dr, Waxhaw, NC 28173-4109 | 2017-03-14 |
| 1962953877 | Novant Medical Group, Inc | Internal Medicine | 9550 Rocky River Rd Ste 100, Charlotte, NC 28215 | 2016-10-17 |
| 1154774032 | Roanoke Valley Health Services, Inc | Internal Medicine | 210 Smith Church Rd Ste B, Roanoke Rapids, NC 27870-4942 | 2016-07-15 |
| 1376974485 | Gottskalk Bjornsson | Internal Medicine | 363 Creedmoor Rd, Jacksonville, NC 28546-6035 | 2013-11-29 |
| 1396017752 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 2293 Sugar Hill Rd, Suite B, Marion, NC 28752-7787 | 2012-02-01 |
| 1518283373 | Christine Lee Vigeland | Internal Medicine | 101 Manning Drive University of North Carolina, Chapel Hill, NC 27599-0001 | 2010-04-19 |
| 1821314014 | Luz Juliana Barahona | Internal Medicine | 706 Rosanne Dr, Kinston, NC 28504-1550 | 2010-04-13 |
| 1407188600 | Blue Ridge Healthcare Medical Group, Inc. | Internal Medicine | 117-b Foothills Dr, Morganton, NC 28655 | 2010-02-12 |
| 1164690731 | Pulmonology & Bronchology | Internal Medicine | 8878 Us 70 Hwy W, Suite 400a, Clayton, NC 27520-4823 | 2008-02-15 |
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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.