Individual
DR. JOHN WILLIAM BRADY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8650 SUDLEY ROAD, SUITE 310, MANASSAS, VA 20110-4416
(703) 369-3376
(703) 369-1118
Mailing address
8650 SUDLEY ROAD, SUITE 310, MANASSAS, VA 20110-4416
(703) 369-3376
(703) 369-1118
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101019666
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00X776J01
PTAN
—
01
—
0101019666
MEDICAL LICENSE NUMBER
VA
Enumeration date
08/18/2005
Last updated
04/19/2026
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