Mary Ellen Brady, MS RT(T)

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

07241 Issued in MA

Practice address

55 Pleasantdale Rd
West Roxbury, MA 02132-6212

Phone

(617) 290-9198

NPI assigned

Sep 5, 2015

Last updated

Sep 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Ellen Hanlon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1441411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441411200000",
    "number": "1356719470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PLEASANTDALE RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326212",
            "telephone_number": "617-290-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PLEASANTDALE RD",
            "city": "WEST ROXBURY",
            "state": "MA",
            "postal_code": "021326212",
            "telephone_number": "617-290-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "MS RT(T)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-05",
        "last_updated": "2015-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "MA",
            "license": "07241",
            "primary": true
        },
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "RI",
            "license": "RT001494",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "HANLON",
            "middle_name": "ELLEN",
            "credential": "MS RT(T)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Boston Vamc
• Susan Sabarre Bostrom, LPN
• Kerri A Bourgeois, D.M.D.
• Joey Boyer, RN 237173
• Alyson Mackenzie Bracken, P.A.
• Jill Elizabeth Braganca, MD
• Parbati Basu Brahma, M.D.
• Jennifer Brandel, LICSW
• Kylie Breadmore, PTA
• William Patrick Brennan Jr., PHARMD

• Radiologic Technologist in West Roxbury, MA
• Providers in West Roxbury, MA by specialty
• Radiologic Technologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.

Verify at the official NPI Registry.