Individual
MR. NATHANAEL STEVEN BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(719) 260-1022
(719) 260-7790
Mailing address
1710 JET STREAM DR STE 105, COLORADO SPRINGS, CO 80921-3937
(916) 990-3649
(719) 260-7790
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
34.009046
OH
207K00000X
Allergy & Immunology Physician
48591
CO
207KA0200X
Allergy Physician
Primary
48591
CO
208000000X
Pediatrics Physician
34.009046
OH
208000000X
Pediatrics Physician
48591
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83737049
—
CO
Enumeration date
07/12/2007
Last updated
01/10/2025
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