Physician Compare National (NPI:1053462937)

HEALTHCARE PROVIDER: JAMES BRADY M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1053462937
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0244221422
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090122000623
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BRADY
	Individual professional last name
Provider First Name	JAMES
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PLASTIC AND RECONSTRUCTIVE SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	HAND SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	HAND SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	686 COUNTY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 2
	Group Practice or individual's line 2 address
City	SOUTHAMPTON
	Group Practice or individual's city
State	NY
	Group Practice or individual's state
Zip Code	119685703
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	330393
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SUNY/STONY BROOK UNIVERSITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y