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NPI Code Detail

MEDICARE: MICHAEL N. BRADY MD

MEDICARE:   MICHAEL N. 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
1207R00000XInternal Medicine Physician033534GA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00329356OTHERGAMEDICARE RAILROAD #

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528010246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL N. BRADY MD
Provider Business Mailing Address
First Line : 320 MARGIE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7817
Country : US
Telephone Number : 478-953-0911
Fax Number : 478-953-0900
Provider Business Practice Location Address
First Line : 320 MARGIE DR
Second Line :
City : WARNER ROBINS
State : GA
Zip : 31088-7817
Country : US
Telephone Number : 478-953-0911
Fax Number : 478-953-0900
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 05/01/2009

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Directions to “ MICHAEL N. BRADY MD” Practice Location

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