Individual
DR. MARK RICHARD BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2209 S STERLING ST STE 600, MORGANTON, NC 28655-4092
(828) 580-4577
Mailing address
5221 PARAMOUNT PKWY STE 420, MORRISVILLE, NC 27560-5491
(984) 974-2705
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
200400014
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138G8
BCBS
NC
05
—
89138G8
—
NC
01
—
P00461398
RAILROAD MEDICARE
NC
Enumeration date
04/11/2006
Last updated
01/08/2024
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