Active NPI
Aidan Brady
- Electroneurodiagnostic Specialist/Technologist
- Cape Girardeau, MO
National Provider Identifier
1174307920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- Practice address
- 1701 Lacey St
Cape Girardeau, MO 63701-5230 - Phone
- (573) 334-4822
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Primary |
Addresses
Primary practice location
1701 Lacey St
Cape Girardeau, MO 63701-5230
Mailing address
6642 Clayton Rd # 403
Saint Louis, MO 63117-1602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1174307920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6642 CLAYTON RD # 403",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 LACEY ST",
"city": "CAPE GIRARDEAU",
"state": "MO",
"postal_code": "637015230",
"telephone_number": "573-334-4822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "AIDAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Girardeau, MO
- Katana M Boyd
- Dana Boyland, LCSW
- Brad McMillin, Inc (Beltone Hearing Aid Service)
- Cecelia Faye Bradley, LCSW
- Lyndsie Noelle Bradshaw, FNP
- Samantha Renee Braeuner, LCSW
- Spencer Michael Bragg
- Brain and Neurospine Clinic of Missouri
- Branch and Bloom Psychiatry, LLC
- Brandiekay LLC (Cape Medical Weight Loss and Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.