Kevin Brady, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

PO02717 Issued in FL

Practice address

1705 Gardner Dr
Wilmington, NC 28405

Phone

(910) 343-5300

Fax

(910) 254-4680

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alberto Herrada DPM PA

  • Podiatrist
  • Cooper City, FL
  • NPI 1518155290
  Medicare reassignment NPD
• Lauderdale Orthopaedic Surgeons LLP

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1336190537
  NPD (past)
• Lauderdale Orthopaedic Surgeons LLP

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
  • NPI 1588615785
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1104815927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284058873",
            "telephone_number": "910-343-5300",
            "fax_number": "910-254-4680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 GARDNER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28405",
            "telephone_number": "910-343-5300",
            "fax_number": "910-254-4680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 Embassy Dr",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330264573",
            "country_code": "US",
            "telephone_number": "954-434-9877",
            "fax_number": "954-434-9881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "KEVIN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO02717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390434200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Bradshaw, PTA
• Kimberly Bradshaw
• Brady J. Semmel, DMD, MD, PA
• Jennifer Brady
• Katherine Brady, CCC-SLP
• Alan Robert Brailsford de Lopez, LCSW LCAS CSI
• Adam C. Braithwaite, MD
• John Paul Bramblett Jr., PHD
• Chloe Bramer-Payne
• Branch Consultants, LLC

• Foot & Ankle Surgery Podiatrist in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Foot & Ankle Surgery Podiatrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.