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Individual
CHAD BRADY
Active
Individual
CHAD BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
289
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10004402
LOVELACE
NM
01
—
181866400
ESA
NM
01
—
201042850
PRESBITERIAN
NM
01
—
4583990001
DME
NM
01
—
536064075
AETNA
NM
01
—
NM005490
BLUES
NM
01
—
P00078790
RAILROAD MCR
—
01
—
PROVB11359
MOLINA
NM
Enumeration date
08/09/2006
Last updated
05/24/2011
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