Individual
JOHN W BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7150 ARBOR ST, OMAHA, NE 68106-3063
(402) 341-5128
Mailing address
7150 ARBOR ST, OMAHA, NE 68106-3063
(402) 341-5128
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26532
NE
207Q00000X
Family Medicine Physician
4085
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5602683
—
SD
Enumeration date
08/02/2005
Last updated
09/30/2024
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