Brady East STD Clinic, Inc.

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

2969-800 Issued in WI

Legal business name

BRADY EAST STD CLINIC, INC.

Practice address

1240 E Brady St
Milwaukee, WI 53202-1603

Phone

(414) 272-2144

Fax

(414) 272-6568

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Michael Lynch

Title

Director

Phone

(414) 272-2144

Specialties & licenses 1

Addresses

Other names 1

• BESTD Clinic Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306969613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E BRADY ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021603",
            "telephone_number": "414-272-2144",
            "fax_number": "414-272-6568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E BRADY ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532021603",
            "telephone_number": "414-272-2144",
            "fax_number": "414-272-6568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADY EAST STD CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "414-272-2144",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "WI",
            "license": "2969-800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BESTD Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Azore-Dee Bradshaw, M.D.
• Madeline Bradshaw, PT, DPT
• Tekeya A Bradshaw, LPC-IT
• Shirley Bradt, PT
• Jessica Lauren Bradway, LPC, ATR, LMT
• Erica Brady
• Sara Brady, M.D.
• Shelley Lee Bragg
• Angela Braggs, LPC-IT
• Claire Braglia, MS, RDN, CD

• Voluntary or Charitable Agency in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Voluntary or Charitable Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.