Organization Active NPI

Debrady, Akili MD PC

Doing business as DeBrady Medical Associates

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1205043304
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD428354 Issued in PA
Legal business name
DEBRADY, AKILI MD PC
Doing business as
DeBrady Medical Associates
Practice address
7601 Germantown Ave
Philadelphia, PA 19119-1608
Phone
(215) 248-6090
Fax
(215) 248-6091
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Dr. Akili H Debrady, MDNPI 1336155043
Title
Owner
Phone
(215) 248-6090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD428354 PA Primary

Addresses

Primary practice location

7601 Germantown Ave
Philadelphia, PA 19119-1608

Mailing address

7601 Germantown Ave
Philadelphia, PA 19119-1608
Phone (215) 248-6090

Other names 1

  • DeBrady Medical Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070620000037 PA Part B Supplier - Clinic/Group Practice 2769581560 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

7601 Germantown Ave
Philadelphia, PA 19119
Phone (215) 248-6090

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11295/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1205043304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191608",
            "telephone_number": "215-248-6090",
            "fax_number": "215-248-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 GERMANTOWN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191191608",
            "telephone_number": "215-248-6090",
            "fax_number": "215-248-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRADY, AKILI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "DEBRADY",
        "authorized_official_first_name": "AKILI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-248-6090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD428354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeBrady Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.