Individual
DR. DONALD PAUL BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 W 7TH ST, LITTLE ROCK, AR 72201
(501) 257-1000
Mailing address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-6050
(501) 257-5404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
E-0262
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126652001
—
AR
01
—
130013625
OLD RAILROAD MCR
—
01
—
15897000000
QUALCHOICE
—
01
—
5J580
BCBS
—
01
—
P00266072
NEW RAILROAD MCR
—
Enumeration date
05/01/2007
Last updated
03/13/2019
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