Individual
DR. BRADY LYNN CARTER
Active
Individual
DR. BRADY LYNN CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305831292
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010259053
—
VA
01
—
03-0577077
TRI-CARE #
VA
01
—
030577077
TAX ID #
VA
01
—
193497
ANTHEM PROVIDER #
VA
01
—
700683
UNITED HEALTHCARE - ACN #
VA
01
—
7195849
AETNA PROVIDER #
VA
01
—
VA0100
JOHN DEERE PROVIDER #
VA
Enumeration date
10/06/2006
Last updated
07/20/2022
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