Individual
TIMOTHY B BRADY
Active
Individual
TIMOTHY B BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
Update your record
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