Active NPI
Evan Edgar Brady, D.C.
- Chiropractor
- Salt Lake City, UT
National Provider Identifier
1356660872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7856550-1202
- Practice address
- 999 E Murray Holladay Rd.
Suite 103
Salt Lake City, UT 84117 - Phone
- (801) 268-8090
- Fax
- (801) 268-8097
- NPI assigned
- May 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC 31638 | CA | |
| Chiropractor | 111N00000X | 7856550-1202 | UT | Primary |
Addresses
Primary practice location
999 E Murray Holladay Rd.
Suite 103
Salt Lake City, UT 84117
Mailing address
999 E Murray Holladay Rd.
Suite 103
Salt Lake City, UT 84117
Phone (801) 268-8090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7856550-1202 | UT | MD | Chiropractor |
| DC 31638 | CA | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kab Inc | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Salt Lake City, UT
- NPI 1689864605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449792000000",
"number": "1356660872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 E MURRAY HOLLADAY RD.",
"address_2": "SUITE 103",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-268-8090",
"fax_number": "801-268-8097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 E MURRAY HOLLADAY RD.",
"address_2": "SUITE 103",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-268-8090",
"fax_number": "801-268-8097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "EVAN",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-24",
"last_updated": "2015-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "CA",
"license": "DC 31638",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "UT",
"license": "7856550-1202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.