Individual provider Active NPI

Sean Patrick Brady, MD

  • Allergy & Immunology (Internal Medicine) Physician
  • Williamsville, NY
National Provider Identifier
1356583124
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
265715 Issued in NY
Practice address
1020 Youngs Rd
Williamsville, NY 14221
Phone
(716) 961-9900
Fax
(716) 961-9911
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 265715 NY Primary

Addresses

Primary practice location

1020 Youngs Rd
Williamsville, NY 14221

Mailing address

1020 Youngs Rd
Williamsville, NY 14221-2698
Phone (716) 961-9900

Other practice location 1

10 Barnes West Dr
Suite 200
Creve Coeur, MO 63141-6350
Phone (314) 996-8670

Other identifiers 1

IdentifierTypeStateIssuer
03478677MedicaidNY

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20120808000031 NY Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 6800042839 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Rochester School of Medicine and Dentistry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic Medicine Services, Inc.Group PAC ID 0941105241, 115 clinicians

Practice addresses (Care Compare)

1020 Youngs Rd
Suite 110
Williamsville, NY 14221-2698
Phone (716) 961-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Medicine Services, Inc. CurrentSince Aug 1, 2015 Accepting new patients
Kaleida Health Current Accepting new patients
Ub Family Medicine, Inc Current Accepting new patients
Kaleida Health CurrentSince Aug 10, 2015 Accepting new patients
Kaleida Health CurrentSince Aug 10, 2015 Accepting new patients
University at Buffalo Surgeons Inc Past Accepting new patients

Locations

462 Grider St
Fl 11
Buffalo, NY 14215
Phone (716) 898-4803

900 Hertel Ave
Buffalo, NY 14216
Phone (716) 871-1571

1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284

77 Goodell St
Ste 320
Buffalo, NY 14203

1020 Youngs Rd
Ste 110
Williamsville, NY 14221
Phone (716) 636-8284

1020 Youngs Rd
Williamsville, NY 14221
Phone (716) 636-1600

Interoperability endpoints

  • Direct secure messaging: seanbrady@ubmd.allscriptsdirect.net

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1356583124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142212698",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 YOUNGS RD",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "14221",
            "telephone_number": "716-961-9900",
            "fax_number": "716-961-9911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Barnes West Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Creve Coeur",
            "state": "MO",
            "postal_code": "631416350",
            "country_code": "US",
            "telephone_number": "314-996-8670",
            "fax_number": "314-996-3195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SEAN",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NY",
            "license": "265715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03478677",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

Verify at the official NPI Registry.