GARRY LEE BRADY


Address: 703 N Main St, Kouts, IN 46347-9692
Phone: 2197663131

GARRY LEE BRADY (NPI# 1457513764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457513764
Entity Type Individual
Full Name GARRY LEE BRADY
Credential DO
Practice Address 703 N Main St
Kouts
IN 46347-9692
Practice Telephone 2197663131
Practice Fax Number 2197660303
Mailing Telephone 2197663131
Mailing Fax Number 2197660303
Enumeration Date 2008-06-27
Last Update Date 2017-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice 02004413A IN Allopathic & Osteopathic Physicians

Office Location

Street Address 703 N MAIN ST
City KOUTS
State IN
Zip Code 46347-9692

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265957971 Kelly Renee Hardesty Nurse Practitioner 703 N Main St, Kouts, IN 46347-9692 2017-08-03
1396808267 Karen Dunning Nurse Practitioner 703 N Main St, Kouts, IN 46347-9692 2006-12-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497972772 Kathy Lynch Nurse Practitioner 705 N Main St., Kouts, IN 46347 2007-04-19
1558411355 Robert E. Hott Dentist 306 S. Main Street, Kouts, IN 46347 2007-01-12
1679645584 Paul Timmons Dentist 306 S Main St, Kouts, IN 46347-0429 2006-11-15
1437695251 East Porter County School Corporation Local Education Agency (LEA) 502 E College Ave, Kouts, IN 46347-7035 2017-01-18
1104902493 Scheddell & Wendt Bros. Drugs Pharmacist 207 S Main St, Kouts, IN 46347-9412 2006-10-28
1477703395 Cindy Rae Lybolt Midwife, Lay 714 Baums Bridge Rd, Kouts, IN 46347-9617 2008-09-28
1184902637 Ruta E Zamitis Social Worker 705 N Main St, Kouts, IN 46347-9692 2011-08-02
1609196039 Kouts Health Care, Inc Registered Nurse 705 N Main St, Kouts, IN 46347-9692 2010-06-08
1679775902 Kouts Family Health Care, IInc Nurse Practitioner 705 N Main St, Kouts, IN 46347-9692 2007-05-31
1215058151 Midwest Center for Youth & Families Psychiatric Hospital 1012 W Indiana St, Kouts, IN 46347-9703 2007-04-02
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1871074732 Healthy Schools Indiana LLC General Practice 6605 E State Blvd Ste 9, Fort Wayne, IN 46815-7036 2018-08-28
1518445089 Allied Wellness Group General Practice 8202 Clearvista Pkwy Ste 9f, Indianapolis, IN 46256-1457 2018-08-06
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Competitor

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City KOUTS
Zip Code 46347

Improve Information

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Dataset Information

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.

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