MEDICARE: BRADY'S HOME HEALTH CARE,INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1417983842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADY'S HOME HEALTH CARE,INC

Provider Business Mailing Address
First Line	:	1605 N ELM ST
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-3828
Country	:	US
Telephone Number	:	918-542-7396
Fax Number	:	918-540-0095

Provider Business Practice Location Address
First Line	:	1605 N ELM ST
Second Line	:
City	:	MIAMI
State	:	OK
Zip	:	74354-3828
Country	:	US
Telephone Number	:	918-542-7396
Fax Number	:	918-540-0095

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. RANDALL W BRADY
Credential	:
Telephone Number	:	918-542-7396

Provider Enumeration Date	:	06/25/2006
Last Update Date	:	11/14/2007

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