Individual
CHARLES F BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
903 C NORTH 5TH STREET, ESTANCIA, NM 87016
(505) 384-2777
Mailing address
229 NOGAL PL, EL PASO, TX 79915-4516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J8928
TX
2083X0100X
Occupational Medicine Physician
J8928
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E5032
—
NM
01
—
00400M
BLUE CROSS BLUE SHIELD OF NEW MEXICO
NM
05
—
119038103
—
TX
01
—
36224
PRESBYTERIAN HEALTH PLAN
NM
01
—
PROVP11371
MOLINA HEALTHCARE
NM
Enumeration date
10/13/2005
Last updated
06/18/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us