DEREK P BRADY


Address: 101 Bodin Cir, Fairfield, CA 94535-1809
Phone: 7074233000

DEREK P BRADY (NPI# 1851919468) 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) 1851919468
Entity Type Individual
Full Name DEREK P BRADY
Credential MD
Practice Address 101 Bodin Cir
Fairfield
CA 94535-1809
Mailing Address 1105 Swathmore Ct
Dixon
CA 95620-9325
Practice Telephone 7074233000
Mailing Telephone 8018033578
Enumeration Date 2020-07-09
Last Update Date 2020-07-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171000000X Military Health Care Provider Other Service Providers

Other Providers DEREK BRADY

NPI Name Taxonomy Address Enumeration
1417413246 Derek Brady Physical Therapist 32 S Main St, Clarkston, MI 48346-1526 2019-02-18
1689953275 Derek Joseph Brady Registered Nurse 4615 Government St, Baton Rouge, LA 70806-5922 2011-08-12

Office Location

Street Address 101 BODIN CIR
City FAIRFIELD
State CA
Zip Code 94535-1809

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912504093 Dallas Mcwilliams Military Health Care Provider 101 Bodin Cir, Fairfield, CA 94535-1809 2020-10-02
1669082897 Sahra K. Pak Dietitian, Registered 101 Bodin Cir, Fairfield, CA 94535-1809 2020-08-03
1164031407 Abigail Greenwell Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-07-22
1588282396 Jacob Blotter Counselor 101 Bodin Cir, Fairfield, CA 94535-1809 2020-07-08
1154947679 Daniel Warren Cline Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-06-20
1477174654 Robert Dillon Hill Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-04-29
1124653878 Hana L Ha Pharmacist 101 Bodin Cir, Fairfield, CA 94535-1809 2020-03-03
1972137644 Audrey Nicole Imperial Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-03-02
1366074163 Christian Heinrich Kniep Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-02-10
1457983751 Jeffery Michael Lerma Student in an Organized Health Care Education/Training Program 101 Bodin Cir, Fairfield, CA 94535-1809 2020-02-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508487711 Sheila C Flood Student in an Organized Health Care Education/Training Program 101 Biden Circle, Fairfield, CA 94535 2020-04-28
1568081255 Miguel Julian Moreno Student in an Organized Health Care Education/Training Program 690 Airmen Drive, Travis Afb, CA 94535 2020-04-13
1174096101 Zlatoslava Karga Nurse Practitioner 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 2019-01-02
1437648292 Luke C Vera Dentist David Grant Medical Center 101 Bodin Circle, Travis Air Force Base, CA 94535 2018-05-08
1588163430 Sanaz Ziad Pharmacist 60mdg/mdts, 101 Bodin Circle, Travis Afb, CA 94535 2018-02-06
1194265686 Geoffrey Johnston Dentist 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, CA 94535 2017-03-02
1336693407 Hannah Isla Nordwall Social Worker 60 Mdg/mdos 101 Bodin Cir, Travis Afb, CA 94535 2016-08-06
1184177149 Taylor Murrie-robinson Social Worker 60mdg / Sgow Mental Health Clinic, 101 Bodin Circle, Travis Afb, CA 94535 2016-07-26
1952759607 Eric Kincaid-sharp General Practice 60 Mdg/amds, 101 Bodin Cir, Travis Afb, CA 94535 2016-06-02
1023472040 Genieve Marie Martinez-hernandez Internal Medicine 60 Mdg/sgomi, 101 Bodin Circle, Fairfield, CA 94535 2016-04-06
Find all providers in zip 94535

Taxonomy Information

Taxonomy Code 171000000X
Grouping Other Service Providers
Classification Military Health Care Provider

Taxonomy Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
Notes: [7/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164083523 Lucas Vandermyde Military Health Care Provider David Grant Medical Center, 101 Bodin Circle, Fairfield, CA 94535 2019-06-26
1245896968 Carolyn Alyce Jiang Military Health Care Provider 101 Bodin Cir, Fairfield, CA 94535-1809 2019-05-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235730755 Zaccary Griffin Military Health Care Provider Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 2020-11-02
1629692389 Christopher Matey Military Health Care Provider 34800 Bob Wilson Dr Ste 110, San Diego, CA 92134-1110 2020-05-29
1982225769 Jin Ah Kim Military Health Care Provider Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 2020-05-03
1124647680 Katherine Koliadko Military Health Care Provider 11023 Evans St, Loma Linda, CA 92354-2708 2020-04-14
1508495201 Benjamin Michael Taylor Military Health Care Provider Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 2020-04-04
1588292858 Korina Erin Sandoval Military Health Care Provider Naval Medical Center Drive 38400 Bob Wilson Dr, San Diego, CA 92134-5000 2020-03-31
1033746508 Hannah Johnson Military Health Care Provider 34800 Bob Wilson Dr Ste 403, San Diego, CA 92134-1403 2020-03-25
1891336541 Prana Hands Nonprofit Military Health Care Provider 2180 Garnet Ave Ste 3l, San Diego, CA 92109-3676 2019-10-03
1578124194 David M Allen Military Health Care Provider 1st Mlg, Bldg 150121, Camp Pendleton, CA 92055 2019-06-25
1992366587 Darion Pegues Military Health Care Provider 3530 Kelsey St, San Diego, CA 92124-3516 2019-06-24
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Competitor

Search similar providers

City FAIRFIELD
Zip Code 94535

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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