NPIMap

Individual provider Active NPI

Nicholas Brady, MD, MBA

  • Orthopaedic Surgery Physician
  • Warwick, RI
National Provider Identifier
1073133708
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD20620 Issued in RI
Practice address
300 Crossings Blvd
Warwick, RI 02886-2878
Phone
(401) 777-7000
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NM
Orthopaedic Surgery Physician 207X00000X MD20620 RI Primary

Addresses

Primary practice location

300 Crossings Blvd
Warwick, RI 02886-2878

Mailing address

200 Crossings Blvd Ste 310
Warwick, RI 02886-2872
Phone (401) 777-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250507003144 CT Practitioner - Orthopedic Surgery 2961828926 Reassigns benefits to 1 organization
I20250708002184 RI Practitioner - Orthopedic Surgery 2961828926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedics Rhode Island IncGroup PAC ID 7012225907, 123 clinicians
Day Kimball Medical Group IncGroup PAC ID 1557514411, 91 clinicians

Practice addresses (Care Compare)

300 Crossings Blvd
Warwick, RI 02886-2878
Phone (401) 777-7000

35 Kennedy Dr
Putnam, CT 06260-1939
Phone (860) 963-3883

Hospital & facility affiliations

  • South County Home Health Home health agency, Wakefield, RI, CCN 417023
  • South County Hospital Inc Hospital, Wakefield, RI, CCN 410008
  • Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement13
Knee replacement1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD20620RIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedics Rhode Island, Inc Orthopaedic Surgery CurrentSince Aug 4, 2025 Accepting new patients
Day Kimball Medical Group Inc CurrentSince Jun 15, 2025 Accepting new patients
Orthopedics Rhode Island, Inc CurrentSince Aug 4, 2025 Accepting new patients

Locations

132 Westminster Rd
Canterbury, CT 06331
Phone (860) 546-2225

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

35 Kennedy Dr
Putnam, CT 06260
Phone (860) 963-2133

588 Pawtucket Ave
Pawtucket, RI 02860
Phone (401) 722-2400

70 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

300 Crossings Blvd
Warwick, RI 02886
Phone (716) 208-1708

200 Crossings Blvd
Ste 310
Warwick, RI 02886

Interoperability endpoints

  • Direct secure messaging: nicholas.brady.1@1694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1694/brand/19/csg/48/fhir/r4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1073133708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CROSSINGS BLVD STE 310",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862872",
            "telephone_number": "401-777-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CROSSINGS BLVD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862878",
            "telephone_number": "401-777-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "MD20620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.