Individual
DR. JOHN GREG BRADY
Active
Individual
DR. JOHN GREG BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
OS004677L
PA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
OS004677L
PA
207NS0135X
Procedural Dermatology Physician
OS004677L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50094289
CAPITAL BC
PA
01
—
735359
HIGHMARK BS
PA
Enumeration date
10/04/2005
Last updated
01/22/2015
Update your record
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