Individual
JOHN PETER BRADY III
Active
Individual
JOHN PETER BRADY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 032377E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110016740
RRMC
—
01
—
117621800
BLACK LUNG
—
01
—
81228
BS
—
01
—
C29255
STERLING
—
Enumeration date
10/27/2006
Last updated
04/22/2008
Update your record
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