Healthcare Provider Details

I. General information

NPI: 1376701896
Provider Name (Legal Business Name): MEGAN ANNA BRADY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 S UNION BLVD STE 310
COLORADO SPRINGS CO
80910-3126
US

IV. Provider business mailing address

4808 DAVENPORT ST
OMAHA NE
68132-3109
US

V. Phone/Fax

Practice location:
  • Phone: 719-365-1950
  • Fax: 719-365-1951
Mailing address:
  • Phone: 317-605-4731
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number31727
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number41670
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: