| Doctor Name: | MRS. BRADY BURGE |
| NPI Number: | 1013347707 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-119026 |
| Business Practice Address: | 3280 Dauphin St Bldg A 101 Mobile, AL - 366064060 |
| Business Phone Number: | 2516623737 |
| Business Fax Number: | 2515453010 |
| Mailing Address: | 3280 Dauphin St, Bldg A 101 MOBILE |
| State: | AL |
| Postal Code: | 366064060 |
| Phone Number: | 2514503700 |
| Fax Number: | 2515453010 |
| NPI Enumeration Date: | 11/18/2013 |
| NPI Last Update Date: | 02/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 1-119026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |