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NPI Code Detail

MEDICARE: DR. KEVIN M BRADY MD

MEDICARE: DR. KEVIN M BRADY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) Physician30436AZ

General Provider Information

NPI Number : 1154315810
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN M BRADY MD
Provider Business Mailing Address
First Line : 10930 N TATUM BLVD
Second Line : STE 103
City : PHOENIX
State : AZ
Zip : 85028-6069
Country : US
Telephone Number : 602-263-7600
Fax Number : 602-212-0365
Provider Business Practice Location Address
First Line : 500 W THOMAS RD STE 500
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4220
Country : US
Telephone Number : 602-406-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2005
Last Update Date : 08/27/2025

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Directions to “ DR. KEVIN M BRADY MD” Practice Location

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