MEDICARE: TIMOTHY B 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
1	207R00000X	Internal Medicine Physician	01043951A	IN
2	208000000X	Pediatrics Physician	01043951A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000086745	OTHER	IN	ANTHEM

General Provider Information

NPI Number	:	1942253208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOTHY B BRADY MD

Provider Business Mailing Address
First Line	:	PO BOX 637764
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-7764
Country	:	US
Telephone Number	:	317-880-3939
Fax Number	:

Provider Business Practice Location Address
First Line	:	9443 E. 38TH ST.
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46236-2132
Country	:	US
Telephone Number	:	317-890-2100
Fax Number	:	317-890-2171

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	09/11/2025

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Directions to “ TIMOTHY B BRADY MD” Practice Location

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