Individual provider Active NPI

Joseph J Brady, MD

  • Surgery Physician
  • Warwick, RI
National Provider Identifier
1407818404
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8359 Issued in RI
Practice address
227 Centerville Rd
Suite 2
Warwick, RI 02886-4394
Phone
(401) 737-4828
Fax
(401) 732-8484
NPI assigned
Apr 5, 2006
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 8359 RI Primary
Vascular Surgery Physician 2086S0129X 8359 RI

Addresses

Primary practice location

227 Centerville Rd
Suite 2
Warwick, RI 02886-4394

Mailing address

227 Centerville Rd
Suite 2
Warwick, RI 02886-4394
Phone (401) 737-4828

Other identifiers 3

IdentifierTypeStateIssuer
7003348MedicaidRI
004602OtherRIBCBSRI/CHIP
838-7OtherRIBCBSRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101217000121 RI Practitioner - General SurgeryPractitioner - Vascular Surgery 2567650583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Kenyon Ave
Wakefield, RI 02879-4216
Phone (401) 284-1212

70 Kenyon Ave
Suite 280
Wakefield, RI 02879-4253
Phone (401) 284-1212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Spring Health Care Management, Inc. Surgery CurrentSince Dec 1, 2017 Accepting new patients
Silver Spring Health Care Management, Inc. CurrentSince Dec 1, 2017 Accepting new patients
Silver Spring Health Care Management, Inc Past Accepting new patients

Locations

3461 S County Trl
Ste 201
East Greenwich, RI 02818
Phone (401) 471-6850

100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000

70 Kenyon Ave
Ste 280
Wakefield, RI 02879
Phone (401) 284-1212

70 Kenyon Ave
Ste 325
Wakefield, RI 02879
Phone (401) 284-4114

120 Centerville Rd
Ste 3
Warwick, RI 02886
Phone (401) 788-8780

268 Post Rd
Ste 204
Westerly, RI 02891
Phone (401) 604-2500

Interoperability endpoints

  • Direct secure messaging: jbrady@scmg.gwaydirect.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1407818404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CENTERVILLE RD",
            "address_2": "SUITE 2",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864394",
            "telephone_number": "401-737-4828",
            "fax_number": "401-732-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "8359",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "RI",
            "license": "8359",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003348",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI/CHIP",
            "identifier": "004602",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSRI",
            "identifier": "838-7",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.