John Peter Brady III, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 032377E Issued in PA

Practice address

1212 Main St
Swoyersville, PA 18704

Phone

(570) 287-5588

Fax

(570) 287-3799

NPI assigned

Oct 27, 2006

Last updated

Apr 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• John P Brady MD PC

  • Internal Medicine Physician
  • Forty Fort, PA
  • NPI 1679802748
  NPD Authorized official
• Keystone Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Luzerne, PA
  • NPI 1427748086
  NPD (past)

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1316023849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 MAIN ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-287-5588",
            "fax_number": "570-287-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 MAIN ST",
            "city": "SWOYERSVILLE",
            "state": "PA",
            "postal_code": "18704",
            "telephone_number": "570-287-5588",
            "fax_number": "570-287-3799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JOHN",
        "middle_name": "PETER",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD 032377E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "81228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "117621800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "C29255",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "110016740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY LIFE",
            "identifier": "81228",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Mary Baroody, D.O.
• Daniel Allen Beeferman, PSY.D.
• Boas Surgical, Inc.
• Hollie Browning, M.S.
• Paul Connolly, PHARM D
• Angela Croop
• East Mountain Urology Associates, P.C.
• James William Galasso III, D.O.

• Internal Medicine Physician in Swoyersville, PA
• Providers in Swoyersville, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.