MARY ISABEL BRADY (NPI# 1871586834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871586834 |
| Entity Type | Individual |
| Full Name | MARY ISABEL BRADY |
| Credential | PA-C |
| Practice Address |
4350 N 19th Ave Suite #6 Phoenix AZ 85015 |
| Mailing Address |
52 E Monterey Way Phoenix AZ 85012-2628 |
| Practice Telephone | 6022649191 |
| Practice Fax Number | 6025322973 |
| Mailing Telephone | 6026049500 |
| Mailing Fax Number | 6026319303 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
AZ3131 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | MB1181926 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4350 N 19th Ave, Suite #6, Phoenix, AZ 850154602 | 6022649191 | 6025322973 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962036111 | Mary Brady | Psychologist | 3159 Sacramento St, San Francisco, CA 94115-2005 | 2020-02-26 |
| 1356719470 | Mary Ellen Brady | Radiologic Technologist | 55 Pleasantdale Rd, West Roxbury, MA 02132-6212 | 2015-09-05 |
| 1871970590 | Mary Brady | Registered Nurse | 12 Tomkins Ridge Rd, Tomkins Cove, NY 10986-1408 | 2015-05-01 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1134132368 | Mary Therese Brady | Obstetrics & Gynecology | 4 Nowell Ct, Salem, NH 03079-1228 | 2006-08-15 |
| 1043827918 | Mary E Brady | Case Manager/Care Coordinator | 700 Park Ave, Ironton, OH 45638-1502 | 2020-09-25 |
| 1710414065 | Mary Ann Brady | Occupational Therapist | 830 S Gloster St, Tupelo, MS 38801-4934 | 2017-05-17 |
| 1922486695 | Mary Brady | Dermatology | 16 Woodbine Ln, Danville, PA 17821-8029 | 2015-05-13 |
| 1770977969 | Mary Brady | Behavioral Analyst | 848 Executive Dr, Oviedo, FL 32765-7699 | 2015-03-25 |
| 1417385295 | Mary Virginia Brady | Nurse Practitioner | 120 S Zetterower Ave, Statesboro, GA 30458-4816 | 2013-10-14 |
| Street Address |
4350 N 19TH AVE SUITE #6 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407849458 | Barbra Falta | Physician Assistant | 4350 N 19th Ave, Suite #6, Phoenix, AZ 85015-4602 | 2005-08-24 |
| 1578007480 | Robert Hoadley | Registered Nurse | 4350 N 19th Ave, Suit 6, Phoenix, AZ 85015-4602 | 2016-12-12 |
| 1033661244 | Phillip Prusinski | Nurse Practitioner | 4350 N 19th Ave, #6, Phoenix, AZ 85015-4602 | 2016-11-04 |
| 1265745830 | Dennis R Parker, D.o. Ltd | Family Medicine | 4350 N 19th Ave, #1, Phoenix, AZ 85015-4602 | 2010-07-23 |
| 1386795771 | Desert Run Podiatry Plc | Podiatrist | 4350 N 19th Ave, Suite 3, Phoenix, AZ 85015-4602 | 2007-01-15 |
| 1649337601 | Quanzhi Liu | Acupuncturist | 4350 N 19th Ave, #4, Phoenix, AZ 85015 | 2007-01-02 |
| 1790798072 | Pueblo Family Physicians Ltd | Family Medicine | 4350 N 19th Ave, Suite 6, Phoenix, AZ 85015-4602 | 2006-08-15 |
| 1750394144 | Steven Mcrunels | Family Medicine | 4350 N 19th Ave, Phoenix, AZ 85015-4602 | 2006-08-15 |
| 1104856475 | Douglas L Cunningham | Family Medicine | 4350 N 19th Ave, Suite 6, Phoenix, AZ 85015-4602 | 2006-07-03 |
| 1316990344 | Joyce N Ratner | Podiatrist | 4350 N 19th Ave, Suite 3, Phoenix, AZ 85015-4602 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1124502372 | Amanda Rose Jones | Physician Assistant | 36427 N 14th St, Phoenix, AZ 85086-7506 | 2018-09-23 |
| 1639681745 | Martha Lopez | Physician Assistant | 7010 E Chauncey Ln Ste 210, Phoenix, AZ 85054-3115 | 2017-10-30 |
| 1386153674 | Emily Meredith Eoff | Physician Assistant | 301 W Pasadena Ave Apt 4, Phoenix, AZ 85013-2342 | 2017-09-29 |
| 1659890754 | Greg Horn | Physician Assistant | 20333 N 19th Ave Ste 230, Phoenix, AZ 85027-9901 | 2017-09-11 |
| 1619407269 | Integrative Natural Medicine | Physician Assistant | 2025 E Campbell Ave, #259, Phoenix, AZ 85016-8501 | 2017-06-15 |
| 1174996870 | Jyoti Sharma | Physician Assistant | 13838 S 46th Pl Ste 120, Phoenix, AZ 85044-7801 | 2015-11-04 |
| 1487025086 | Shaye Harrel | Physician Assistant | 9305 W Thomas Rd Ste 478, Phoenix, AZ 85037-3375 | 2015-10-08 |
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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.