Individual
SAMUEL BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2121 E HARMONY RD UNIT 360, FORT COLLINS, CO 80528-3404
(970) 267-9799
Mailing address
2121 E HARMONY RD UNIT 360, FORT COLLINS, CO 80528-3404
(970) 267-9799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.0008149
CO
363A00000X
Physician Assistant
PA1252
WY
Other
Enumeration date
02/13/2020
Last updated
10/22/2025
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