Individual
TIMOTHY B BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9443 E. 38TH ST., INDIANAPOLIS, IN 46236-2132
(317) 890-2100
(317) 890-2171
Mailing address
PO BOX 637764, CINCINNATI, OH 45263-7764
(317) 880-3939
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01043951A
IN
208000000X
Pediatrics Physician
01043951A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000086745
ANTHEM
IN
05
—
200200910
—
IN
Enumeration date
05/18/2006
Last updated
09/11/2025
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