Individual
DR. THOMAS MATTHEW BRADY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1701 N SENATE BLVD, INDIANAPOLIS, IN 46202-1239
(317) 577-4200
(317) 577-9503
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02006984A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
34-007181
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183962
—
OH
Enumeration date
01/11/2006
Last updated
02/13/2024
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