SHAWN RICHARD BRADY (NPI# 1639482573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639482573 |
| Entity Type | Individual |
| Full Name | SHAWN RICHARD BRADY |
| Credential | PA-C |
| Practice Address |
201 Chestnut Hill Rd Stafford Springs CT 06076-4005 |
| Mailing Address |
72 Kingfisher Cir South Windsor CT 06074-4307 |
| Practice Telephone | 8606848126 |
| Enumeration Date | 2010-07-21 |
| Last Update Date | 2010-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2417 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235500489 | Shawn Brady | Nurse Practitioner | 510 Hospital Dr Ste 260, Madison, TN 37115-5027 | 2015-10-14 |
| 1598944563 | Shawn M Brady | Physical Therapy Assistant | 3515 Broadway Ave, Great Bend, KS 67530-3633 | 2007-10-26 |
| 1811000573 | Shawn K. Brady | Emergency Medicine | 200 Mission Boulevard, Jackson, CA 95642-2564 | 2006-08-16 |
| Street Address |
201 CHESTNUT HILL RD |
| City | STAFFORD SPRINGS |
| State | CT |
| Zip Code | 06076-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114925591 | Paul Harvey Cooke | Anesthesiology | 201 Chestnut Hill Rd, Department of Anesthesia, Stafford Springs, CT 06076-4005 | 2005-07-11 |
| 1093324295 | Stephanie Tullock | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2020-07-24 |
| 1407318637 | Domenick Bianchi | Nurse Practitioner | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2019-04-05 |
| 1023585684 | Lovelyn Natasha Bogle | Social Worker | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2018-10-31 |
| 1467976084 | Amanda Wilson | Physician Assistant | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2017-07-26 |
| 1629455654 | Olayemi Ajayi-lamanna | Surgery | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2015-04-28 |
| 1124367743 | Somers Anesthesiology Associates | Nurse Anesthetist, Certified Registered | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-9925 | 2013-02-01 |
| 1720315047 | Laura Marie Kielb | Emergency Medical Technician, Basic | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-11-06 |
| 1720214034 | Johnson Medical Specialists, PC | Obstetrics & Gynecology | 201 Chestnut Hill Rd, Attn: Lori Ladue, Stafford Springs, CT 06076-4005 | 2009-06-02 |
| 1649418575 | Echn Johnson Memorial Hospital, Inc. | Psychiatric Unit | 201 Chestnut Hill Rd, Stafford Springs, CT 06076-4005 | 2009-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306465703 | Kimberly Maine Garrity | Social Worker | 56 Boyer Rd., Stafford Springs, CT 06076 | 2020-04-15 |
| 1912490202 | Lori Anne Belmont | Pharmacist | 87 W Stafford Rd, Stafford Springs, CT 06076 | 2018-06-11 |
| 1649656422 | Vernon E. Percy | Counselor | 25 Clearview Drive, Stafford Springs, CT 06076 | 2015-08-04 |
| 1952660854 | Kris Best | Mechanotherapist | 8 Middle River Drive, Body By Design Fitness Center, Stafford Springs, CT 06076 | 2012-05-11 |
| 1952689945 | Terry M. Eccles, Md, LLC | Nurse Practitioner | 72-ll West Stafford Road, Stafford Springs, CT 06076 | 2011-07-26 |
| 1063698090 | Christine B Anthony | Physical Therapist | 58a West Stafford Road, Stafford Springs, CT 06076 | 2008-01-22 |
| 1043421068 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 87-c West Stafford Springs Plaza, Route 190, Stafford Springs, CT 06076 | 2007-05-24 |
| 1922179340 | Stafford Dental Associates LLC | Dentist | 72 I West Stafford Road, Stafford Springs, CT 06076 | 2006-11-10 |
| 1447346010 | Andrea Estell | Counselor | 12 Lawson Rd., Union, CT 06076 | 2006-10-04 |
| 1811097249 | Maxi Drug Inc | Pharmacy | 87 C W Stafforoad Springs Road, Stafford Springs, CT 06076 | 2006-09-25 |
| Find all providers in zip 06076 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163671 | Kirsten Alexandra Drobiak | Physician Assistant | 37 Jennifer Ln, Griswold, CT 06351-3500 | 2020-10-28 |
| 1255955019 | Amanda Uscilla | Physician Assistant | 20 Hilltop Rd, Bethany, CT 06524-3514 | 2020-06-07 |
| 1689208571 | Sage Ann Miele | Physician Assistant | 149 Water St Apt 32, Norwalk, CT 06854-3758 | 2020-02-28 |
| 1790319655 | Erin Kelly Flynn | Physician Assistant | 464 Congress Ave # Suie260, New Haven, CT 06519-1361 | 2020-02-28 |
| 1659919702 | Jeniece Kayla Wert | Physician Assistant | 100 Church Street South, Suite A230 Room A235, New Haven, CT 06519-1703 | 2019-12-18 |
| 1811547508 | Gabriela M Vargas | Physician Assistant | 24 Hospital Ave # Tower7, Danbury, CT 06810-6099 | 2019-09-16 |
| 1275192049 | Molly J Mable | Physician Assistant | 282 Washington St Fl 1, Hartford, CT 06106-3322 | 2019-06-06 |
| 1003377631 | Stephan Anton Bayer | Physician Assistant | 205 Elm St Apt 5, West Haven, CT 06516-4659 | 2019-03-27 |
| 1578024105 | Vance P Baughman | Physician Assistant | 325 Lafayette St Unit 1003, Bridgeport, CT 06604-5472 | 2019-03-27 |
| 1588121354 | Jason Michael Nies | Physician Assistant | 20 York St # 218, New Haven, CT 06510-3220 | 2019-02-27 |
| Find all providers with the same taxonomy | ||||
| City | STAFFORD SPRINGS |
| Zip Code | 06076 |
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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.