# BRADY JOHN BOWEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427478056
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PS0010X | Sports Medicine (Emergency Medicine) Physician | 011074 | AZ | Yes |
| 207R00000X | Internal Medicine Physician | 011074 | AZ | — |
| 207R00000X | Internal Medicine Physician | 293482-01 | NY | — |
| 207RS0010X | Sports Medicine (Internal Medicine) Physician | 293482-01 | NY | — |
| 208000000X | Pediatrics Physician | 011074 | AZ | — |
| 208000000X | Pediatrics Physician | 293482-01 | NY | — |

## Other

- **Enumeration date:** 04/22/2014
- **Last updated:** 04/10/2025