Individual
DR. JOHN E BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10234 WARWICK BLVD, NEWPORT NEWS, VA 23601
(727) 223-0124
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101059344
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5646600
—
VA
Enumeration date
06/06/2006
Last updated
11/21/2019
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