Tina Ann Brady, AGPCNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

11022653 Issued in FL

Practice address

9121 N Military TRL Ste 111
Palm Beach Gardens, FL 33410-5985

Phone

(561) 626-7604

NPI assigned

Oct 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL, MD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tina.brady.1@29601.direct.athenahealth.com

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.

• Conviva Medical Center Management LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1649324278
  Medicare reassignment Care Compare group NPD
• Metcare of Florida, Inc

  • Internal Medicine Physician
  • Hialeah, FL
  • NPI 1902893225
  Medicare reassignment NPD
• TCMG PA

  • Internal Medicine Physician
  • Parkville, MD
  • NPI 1912030073
  Medicare reassignment NPD
• Metcare of Florida, Inc

  • Internal Medicine Physician
  • Port Orange, FL
  • NPI 1619433869
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Medical Center, Inc.

  • General Acute Care Hospital
  • West Palm Beach, FL
  • NPI 1770515991
  Care Compare affiliation

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1386361996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 N MILITARY TRL STE 111",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334105985",
            "telephone_number": "561-626-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TINA",
        "middle_name": "ANN",
        "credential": "AGPCNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "11022653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tina.brady.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "875 Military Trl Ste 200",
            "city": "Jupiter",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334585700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Bradley, RN
• Meredith Bradley, AU. D
• Charlyn Rappa Bradshaw, D.M.D.
• Kenneth Wayne Bradshaw
• Annmarie Aideen Brady, MPT; CERT. MDT
• Jessica Braendel, PTA
• Florian Braich, D.D.S.
• Brainsport
• Shelley A Brandt, M.S. CCC-SLP
• Branjrewc, LLC

• Adult Health Nurse Practitioner in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.