Individual
MATTHEW JOSEPH BRADY
Active
Individual
MATTHEW JOSEPH BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
30580
SC
2085R0202X
Diagnostic Radiology Physician
2005-00415
NC
2085R0202X
Diagnostic Radiology Physician
Primary
30580
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305805
—
SC
01
—
P00645076
RAILROAD MEDICARE
SC
Enumeration date
05/03/2007
Last updated
02/14/2014
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