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Individual

MATTHEW JOSEPH BRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
316 CALHOUN ST, ROPER RADIOLOGISTS, PA, CHARLESTON, SC 29401-1113
(843) 724-2988
Mailing address
PO BOX 2363, INDIANAPOLIS, IN 46206-2363
(843) 724-2154

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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