Individual provider Active NPI

Joseph Isaiah Brady

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1396479747
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2730 S Val Vista Dr Ste 169
Gilbert, AZ 85295-1683
Phone
(623) 226-8700
NPI assigned
Jul 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2730 S Val Vista Dr Ste 169
Gilbert, AZ 85295-1683

Mailing address

1066 N Power Rd Ste 101
Mesa, AZ 85205-5709
Phone (480) 807-0130

Other practice location 1

1335 Stanford Ave
Emeryville, CA 94608-2536
Phone (510) 647-5101

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 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

Enrollment IDStateProvider typePAC IDDetails
I20240108004445 AZ Practitioner - Physician Assistant 8224489885 Reassigns benefits to 3 organizations
I20240917001243 CA Practitioner - Physician Assistant 8224489885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Laser Center PC a Professional Medical CorporationGroup PAC ID 9537181185, 81 clinicians

Practice addresses (Care Compare)

6145 W Chandler Blvd
Suite 2
Chandler, AZ 85226-3434
Phone (480) 454-8744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
63585CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
La Laser Center PC, a Professional Medical Corporation CurrentSince Aug 10, 2025 Accepting new patients

Locations

2730 S Val Vista Dr
Ste 169
Gilbert, AZ 85295
Phone (480) 981-8339

Interoperability endpoints

  • Direct secure messaging: joseph.bradypac.p1@direct.nextcare.nextgenshare.com
  • Direct secure messaging: jbrady@lalasercenter.emadirect.md

Organizations & group practices 5

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": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1396479747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 N POWER RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852055709",
            "telephone_number": "480-807-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 S VAL VISTA DR STE 169",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951683",
            "telephone_number": "623-226-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1335 Stanford Ave",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946082536",
            "country_code": "US",
            "telephone_number": "510-647-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JOSEPH",
        "middle_name": "ISAIAH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.