Mark A Brady
Individual provider Active NPI Private Vehicle · Livingston, TN
NPI 1144050147 · NPPES record last updated Aug 6, 2024
Key facts
- NPI
- 1144050147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Private Vehicle 347C00000X
- Practice address
- 100 E University St Lot B
Livingston, TN 38570-1555 - Phone
- (931) 349-5863
- NPI assigned
- Aug 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
100 E University St Lot B
Livingston, TN 38570-1555
Mailing address
100 E University St Lot B
Livingston, TN 38570-1555
Phone (931) 349-5863
Other providers in Livingston, TN
- Lindsey Beaty
- Lorianne Bedock
- Christopher Jeffrey Bennett
- Madison Boles
- Deana Booher
- Cierra Brewer
- Ambra R. Brown
- Carla Brown
- Buckeye Home Health Center, Inc.
- Taylor Bumbalough
All providers in Livingston, TN · Private Vehicle in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.