=====================================================
General NPI Number Information
=====================================================
NPI Number | 1215846084
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | BRADY WRIGHT NRP
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/05/2026
-----------------------------------------------------
Last Update Date | 09/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | PSC 41 BOX 981
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09464-0010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-226-4226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PSC 41 BOX 981
-----------------------------------------------------
City | APO
-----------------------------------------------------
State | AE
-----------------------------------------------------
Zip | 09464-0010
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 314-226-4226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 146L00000X
-----------------------------------------------------
Taxonomy Name | Paramedic
-----------------------------------------------------
License Number | M5151706
-----------------------------------------------------
License Number State |
-----------------------------------------------------