| Doctor Name: | GARRY LEE BRADY |
| NPI Number: | 1457513764 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | 02004413A |
| Business Practice Address: | 2418 Curtis Dr Suite B Winamac, IN - 469968818 |
| Business Phone Number: | 5749467900 |
| Business Fax Number: | 5749467936 |
| Mailing Address: | 2418 Curtis Dr, Suite B WINAMAC |
| State: | IN |
| Postal Code: | 469968818 |
| Phone Number: | 5749467900 |
| Fax Number: | 5749467936 |
| NPI Enumeration Date: | 06/27/2008 |
| NPI Last Update Date: | 04/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 02004413A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |