DR. LYNDA M BRADY (NPI# 1285749333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285749333 |
| Entity Type | Individual |
| Full Name | DR. LYNDA M BRADY |
| Credential | M.D. |
| Practice Address |
11365 Dorsett Rd. Maryland Heights MD 63043 |
| Practice Telephone | 3148726400 |
| Practice Fax Number | 3148726500 |
| Mailing Telephone | 3148726400 |
| Mailing Fax Number | 3148726500 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2018-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2003022297 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 208824904 | 05 |
| Street Address |
11365 DORSETT RD. |
| City | MARYLAND HEIGHTS |
| State | MD |
| Zip Code | 63043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275550717 | Brian J. Kelly | Pediatrics | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2006-07-17 |
| 1669809133 | Rachael Lisa Juehring | Psychologist | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2013-09-30 |
| 1972880003 | Mitzie E Graeler | General Acute Care Hospital | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2011-11-03 |
| 1902126097 | Rod Evan Pellenberg | Pediatrics | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2010-06-11 |
| 1346411212 | Barbara Ann Champion | Nurse Practitioner | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2008-03-18 |
| 1093925588 | Amy C. Zimmermann | Physical Medicine & Rehabilitation | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2007-05-23 |
| 1336367226 | Eugene Evra | Physical Medicine & Rehabilitation | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2007-04-23 |
| 1740304948 | Elizabeth R Downey | Registered Nurse | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2007-03-16 |
| 1558468892 | Connie D Simmons | Pediatrics | 11365 Dorsett Rd., Maryland Heights, MO 63043 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861026098 | Sana Lake Recovery Center, LLC | Community/Behavioral Health | 140 Weldon Parkway, Maryland Heights, MO 63043 | 2020-02-26 |
| 1124658257 | Amadu Barrie | Nurse Practitioner | 134 Midland Avenue, Maryland Heights, MO 63043 | 2020-01-16 |
| 1770004707 | Taylor Anne Jordan | Specialist/Technologist | 1885 Mckelvey Hill Dr., Apt 303, Maryland Heights, MO 63043 | 2017-06-29 |
| 1528507167 | Erica K Mazurkiewicz | Counselor | 12061 Dorsett, Maryland Heights, MO 63043 | 2017-02-15 |
| 1851756217 | Crpt, LLC | Physical Therapist | 12674 Dorsett Road, Maryland Heights, MO 63043 | 2015-12-29 |
| 1871930032 | Rachel Michele Gill | Chiropractor | 11d Worthington Access Dr., St. Louis, MO 63043 | 2013-05-29 |
| 1487913299 | John Martin Dds | Dentist | 12131 Dorsett, St 211, Maryland Heights, MO 63043 | 2012-05-14 |
| 1518287648 | Pharmacy Services Inc. | Pharmacist | 212 Millwell Dr., Suite A, St. Louis, MO 63043 | 2010-06-11 |
| 1447578000 | Rxoutreach | Pharmacy | 3171-3183 Riverport Tech Center Dr, Maryland Heights, MO 63043 | 2010-05-06 |
| 1811129257 | Gene Paul Barbour | Internal Medicine | 1 Reading, Marilyn Heights, MO 63043 | 2009-08-19 |
| Find all providers in zip 63043 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841897360 | Alexia Jones | Specialist | 7903 Orion Cir Unit C- 431, Laurel, MD 20724 | 2020-10-07 |
| 1356956593 | Tara Marcell Pettiford | Specialist | 3530 E Northern Pkwy, Baltimore, MD 21206-1632 | 2020-09-14 |
| 1467063628 | Carlos Eduardo Guillen Garrido Sr. | Specialist | 10221 Arizona Cir, Bethesda, MD 20817-1227 | 2020-08-12 |
| 1609498435 | Tiffany Hope | Specialist | 9048 Balin Ct, Pikesville, MD 21208-2143 | 2020-05-14 |
| 1114555117 | Warfield & Brown Health and Wellness Center, LLC | Specialist | 1001 Cedar Corner Rd Ste D1, Perryville, MD 21903-2306 | 2020-03-27 |
| 1073151262 | Inner Group Inc. | Specialist | 3055 Florence Rd, Woodbine, MD 21797-7834 | 2019-12-18 |
| 1710525159 | Nikita Robinson | Specialist | 12743 Millstream Dr, Bowie, MD 20715-1636 | 2019-12-17 |
| 1841834363 | Jennifer Margarita Cuellar Rodriguez | Specialist | 10 Center Dr Bldg 10 11n248, Bethesda, MD 20892-0001 | 2019-10-29 |
| 1063061596 | Amy Dilweg Wenhold | Specialist | 18644 Tanterra Way, Brookeville, MD 20833-2832 | 2019-09-06 |
| 1144876806 | Dominic T Mitchell | Specialist | 4626 Kavon Ave, Baltimore, MD 21206-5706 | 2019-08-17 |
| Find all providers with the same taxonomy | ||||
| City | MARYLAND HEIGHTS |
| Zip Code | 63043 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.