Individual provider Active NPI

Christopher L Brady, LMSW

  • Social Worker
  • Birmingham, MI
National Provider Identifier
1366844300
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801096831 Issued in MI
Practice address
725 S Adams Rd Ste L-167
Birmingham, MI 48009-6987
Phone
(248) 231-3620
NPI assigned
Sep 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801096831 MI Primary

Addresses

Primary practice location

725 S Adams Rd Ste L-167
Birmingham, MI 48009-6987

Mailing address

2904 Grayson St Apt a
Ferndale, MI 48220-1097
Phone (248) 231-3620

Other practice location 1

1800 W Big Beaver Rd
Suite 150
Troy, MI 48084-3545
Phone (248) 752-4216

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1366844300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 GRAYSON ST APT A",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482201097",
            "telephone_number": "248-231-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ADAMS RD STE L-167",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096987",
            "telephone_number": "248-231-3620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 W Big Beaver Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480843545",
            "country_code": "US",
            "telephone_number": "248-752-4216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "CHRISTOPHER",
        "middle_name": "L",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-22",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801096831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; 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.