Keith a. Brady M.D., P.a.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME37799 Issued in FL

Legal business name

KEITH A. BRADY M.D., P.A.

Practice address

1099 5TH Ave N
150
St Petersburg, FL 33705-1469

Phone

(727) 820-7900

Fax

(727) 820-7901

NPI assigned

Dec 12, 2011

Organization subpart

No

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

Authorized official

Name

Jeanette Flores

Title

Biller

Phone

(727) 820-7992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1124396775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 5TH AVE N",
            "address_2": "150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051469",
            "telephone_number": "727-820-7900",
            "fax_number": "727-820-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 5TH AVE N",
            "address_2": "150",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051469",
            "telephone_number": "727-820-7900",
            "fax_number": "727-820-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH A. BRADY M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JEANETTE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "727-820-7992"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME37799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Keenan
• Hannah Keglovits, MT-BC
• Wendy Kehl Wood, ARNP
• Wayne H. Kehm II, DDS, PA
• Breanna Rose Keich
• Keith Brady, M.D., P.a
• Keith Golin PHD FL LLC
• Keith Runyan, MD
• Alaina Keith, MD
• Margaret Ann Kelleher, M.D.

• Internal Medicine Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.