Organization Name: | JOHN W. BRADY, JR., M.D. PLLC |
NPI Number: | 1982863569 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN WILLIAM BRADY (OWNER) |
Mailing Address: | 8650 Sudley Road Suite 310 Manassas |
State: | VA US |
Postal Code: | 201104416 |
Phone Number: | 7033693376 |
Fax Number: | 7033691118 |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 10/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101019666 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |