Active NPI
Debrady, Akili MD PC
Doing business as DeBrady Medical Associates
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1205043304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD428354
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akili H Debrady, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7601 Germantown Ave
Philadelphia, PA 19119
Phone (215) 248-6090
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1336155043
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.