Roseann E Brady DO SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036101474 Issued in IL

Legal business name

ROSEANN E BRADY DO SC

Practice address

110 S Wynstone Park Dr
Suite 101
North Barrington, IL 60010-6979

Phone

(224) 848-4256

Fax

(847) 277-9997

NPI assigned

Feb 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Roseann E Brady, D.O.NPI 1477604106

Title

Owner

Phone

22248484256

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roseann E Brady, D.O.

  • Internal Medicine Physician
  • North Barrington, IL
  • NPI 1477604106
  Medicare reassignment NPD Authorized official
• Barry W Berger, D.O.

  • Internal Medicine Physician
  • Lake Zurich, IL
  • NPI 1770634560
  NPD

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1124297056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WYNSTONE PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106979",
            "telephone_number": "224-848-4256",
            "fax_number": "847-277-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S WYNSTONE PARK DR",
            "address_2": "SUITE 101",
            "city": "NORTH BARRINGTON",
            "state": "IL",
            "postal_code": "600106979",
            "telephone_number": "224-848-4256",
            "fax_number": "847-277-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEANN E BRADY DO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "ROSEANN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "22248484256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036101474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Gail Parks, COTA
• Person-Centered Psychological Services PLLC
• Amie J Pryputniewicz, MS,CCC-SLP
• Robert S Radin, D.D.S.
• Restorative Healing Counseling & Psychotherapy, LLC
• Jessica J Rossi, LCPC
• Carey Russ, LCSW
• Daniel R. Schuh, D.C.
• Robert James Skopek, DDS, MS
• Margaret Stockton Warner, PH.D.

• Internal Medicine Physician in North Barrington, IL
• Providers in North Barrington, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.