KEITH BRADY, M.D., P.A (NPI# 1861754590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861754590 |
| Entity Type | Organization |
| Organization Name | KEITH BRADY, M.D., P.A |
| Practice Address |
1201 5th Ave N Suite 412 St Petersburg FL 33705-1400 |
| Practice Telephone | 7278207992 |
| Practice Fax Number | 7278207901 |
| Mailing Telephone | 7278207992 |
| Mailing Fax Number | 7278207901 |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2012-07-26 |
| Authorized Official Name | DR. KEITH BRADY (MEDICAL DOCTOR) |
| Authorized Official Telephone | 7278207992 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME37799 | FL | Ambulatory Health Care Facilities |
| Street Address |
1201 5TH AVE N SUITE 412 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33705-1400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611735 | Jennifer Kay Hiecke | Physician Assistant | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1400 | 2005-07-07 |
| 1730532854 | Aaron Doheny | Nurse Practitioner | 1201 5th Ave N, Suite 505, St Petersburg, FL 33705-1400 | 2016-07-14 |
| 1144612623 | Michael T Reilly Md Pa | Family Medicine | 1201 5th Ave N, St Petersburg, FL 33705-1400 | 2015-02-20 |
| 1982028841 | Gerald J Rizzo Md Pa | Internal Medicine | 1201 5th Ave N, Suite 302, St Petersburg, FL 33705-1400 | 2014-02-13 |
| 1992058358 | Michael T Reilly Md Pa | Family Medicine | 1201 5th Ave N, Suite 401, St Petersburg, FL 33705-1400 | 2012-10-23 |
| 1396014502 | Alyssa Nicole Siladie | Nurse Practitioner | 1201 5th Ave N, Suite 505, St Petersburg, FL 33705-1400 | 2011-12-16 |
| 1902100258 | Carol E Ripple | Physician Assistant | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1410 | 2010-12-30 |
| 1629390471 | Meghna Kumar-pelayo | Psychiatry & Neurology | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1410 | 2010-02-22 |
| 1275778151 | Quality Neurosurgical Group Pl | Neurological Surgery | 1201 5th Ave N, Suite 210, St Petersburg, FL 33705-1400 | 2008-12-08 |
| 1871738948 | Michael Rosario-prieto | Psychiatry & Neurology | 1201 5th Ave N, Suite 202, St Petersburg, FL 33705-1410 | 2008-12-03 |
| Find all providers in the same location | ||||
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| 1386133015 | Angela Ann Little | Social Worker | 920 Country Club Way S, St Petersburg, FL 33705 | 2018-05-08 |
| 1497279483 | Infinity Health Consultants, LLC. | In Home Supportive Care | 1001 27th Avenue South, St. Petersburg, FL 33705 | 2017-08-01 |
| 1801320528 | Dedicated Senior Medical Center St. Petersburg, LLC. | Non-Pharmacy Dispensing Site | 901 22nd Avenue South, Dedicated Senior Medical Center St. Petersburg, LLC., St. Petersburg, FL 33705 | 2017-04-19 |
| 1790135762 | Robin Dong | Emergency Medicine | 1095 5th Ave N, St. Petersburg, FL 33705 | 2016-06-20 |
| 1437550084 | Community Health Center of Pinellas Inc | Clinic/Center | 612 Dr Martin L King St N, St Petersburg, FL 33705 | 2014-09-12 |
| 1164851754 | Jennifer Carey | Counselor | 11 Mlk Jr St South, St. Petersburg, FL 33705 | 2013-11-05 |
| 1750623997 | Dannaly Reyes Baerga | Physical Medicine & Rehabilitation | 1201 5th Ave N Ste 202, St Petersburg, FL 33705 | 2013-03-26 |
| 1518209055 | Nii Sai Torto | Emergency Medicine | 500 Doctor. M.l.k, Jr. Street North, Ste 303, Saint Petersburg, FL 33705 | 2013-03-22 |
| 1790034635 | Melissa White Kidwell | Physical Therapist | 500 Mlking Street N, Ste 100, St. Petersburg, FL 33705 | 2012-09-06 |
| Find all providers in zip 33705 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1851878094 | Nurse Practitioners of Pinellas, LLC. | Clinic/Center | 3551 42nd Avenue South Suite B107, St Petersburg, FL 33711-4369 | 2018-07-20 |
| 1831580612 | Love The Golden Rule Inc | Clinic/Center | 721 Dr Martin Luther King Jr St S, St Petersburg, FL 33705-1922 | 2015-02-14 |
| 1912056540 | Lynne M. Ellis, Md,pa | Clinic/Center | 1111 7th Ave N Ste 103, St Petersburg, FL 33705-1348 | 2007-01-10 |
| 1245791235 | A Rejuvenated Healthcare LLC | Clinic/Center | 3641 Tyrone Blvd N Ste 3, St Petersburg, FL 33710-1150 | 2019-03-31 |
| 1396229605 | Primacare Emc, Inc. | Clinic/Center | 3236 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1202 | 2018-09-21 |
| 1194177857 | Nilam D Shah P A | Clinic/Center | 5750 5th Ave N, St Petersburg, FL 33710-7104 | 2016-07-06 |
| 1962842963 | Bayfront Hma Wellness Center, LLC | Clinic/Center | 603 7th St S, Suite 350, St Petersburg, FL 33701-4719 | 2013-07-05 |
| 1194086124 | Alan Smith M.d. LLC | Clinic/Center | 1769 66th St N, St Petersburg, FL 33710-5537 | 2012-06-06 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33705 |
Please comment or provide details below to improve the information on KEITH BRADY, M.D., P.A.
| 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.