Healthcare Provider Details

I. General information

NPI: 1386271559
Provider Name (Legal Business Name): BRADY THOMAS WILLIAMS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2020
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13950 BRANDYWINE RD STE 225
BRANDYWINE MD
20613-5815
US

IV. Provider business mailing address

13950 BRANDYWINE RD STE 225
BRANDYWINE MD
20613-5815
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-1682
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number0101289096
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberD0103859
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number0101289096
License Number StateVA
# 4
Primary TaxonomyN
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License NumberMD600005794
License Number StateDC
# 5
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD0103859
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD600005794
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: