Individual
MS. BRENDA MARIE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6605 WEST CENTRAL AVENUE, TOLEDO, OH 43617-1000
(419) 841-7701
(419) 841-1691
Mailing address
1200 RALSTON AVE, DEFIANCE, OH 43512-1396
(419) 783-6955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35066346B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000322503
ANTHEM BCBS
—
05
—
2854924
—
OH
Enumeration date
06/15/2006
Last updated
12/16/2015
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