DR. RAYMOND E BRADY III (NPI# 1912975574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912975574 |
| Entity Type | Individual |
| Full Name | DR. RAYMOND E BRADY III |
| Credential | MD |
| Practice Address |
2055 Exchange St. Suite 150 Astoria OR 97103 |
| Practice Telephone | 5033257546 |
| Practice Fax Number | 5033257343 |
| Mailing Telephone | 5033257546 |
| Mailing Fax Number | 5033257343 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-05-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | MD10611 | OR | Allopathic & Osteopathic Physicians |
| Y | 207K00000X | Allergy & Immunology | MD00017613 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON LICENSE | MD00017613 | 01 |
| OR | OREGON LICENSE | MD10611 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730398223 | Raymond J Brady | Dentist | 2700 N Bellflower Blvd, Suite 306, Long Beach, CA 90815-1129 | 2007-05-21 |
| Street Address |
2055 EXCHANGE ST. SUITE 150 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992901425 | Yelena Kopyltsova | Allergy & Immunology | 3119 Newtown Ave Ste 201, Astoria, NY 11102-1392 | 2007-06-22 |
| 1841386588 | Qlimg Astoria Med. Office | Allergy & Immunology | 3175 23rd St, Astoria, NY 11106-4134 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972075976 | Echo Allergy Care | Allergy & Immunology | 1635 Eastside Rd, Hood River, OR 97031 | 2019-01-02 |
| 1760614283 | Alexander Chan Yu | Allergy & Immunology | 14631 Sw Millikan Way Ste 60, Beaverton, OR 97003-2999 | 2009-08-17 |
| 1275776346 | Ripdeep Mangat Md, P.C. | Allergy & Immunology | 1250 Ne 3rd St Ste B100, Bend, OR 97701-3151 | 2009-04-19 |
| 1316107782 | Stark Medical, PC | Allergy & Immunology | 932 W Idaho Ave Ste 100, Ontario, OR 97914-2155 | 2008-06-10 |
| 1184804064 | Aaim Care LLC | Allergy & Immunology | 8740 Se Sunnybrook Blvd Ste 300, Clackamas, OR 97015-5737 | 2007-11-08 |
| 1487725990 | Barzin Khalili | Allergy & Immunology | 511 Sw 10th Ave Ste 1301, Portland, OR 97205-2714 | 2006-11-13 |
| 1881799963 | Stephen Bernard Fritz | Allergy & Immunology | 9200 Se 91st Ave Ste 220, Happy Valley, OR 97086-3756 | 2006-09-14 |
| 1801826516 | Justin Stephen Treat | Allergy & Immunology | 2233 Willamette St Ste F, Eugene, OR 97405-2890 | 2006-07-05 |
| 1730166828 | Richard Otis Buck | Allergy & Immunology | 2201 Willamette St, Suite C, Eugene, OR 97405-3091 | 2005-12-29 |
| 1609860774 | Fred R. Stark | Allergy & Immunology | 932 W Idaho Ave, Suite 100, Ontario, OR 97914-2155 | 2005-09-06 |
| Find all providers with the same taxonomy | ||||
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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.