Bridget Grady

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

202 Birkhill
Peachtree City, GA 30269-1157

Phone

(770) 632-9195

Fax

(770) 632-6129

NPI assigned

Dec 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417011909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BIRKHILL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691157",
            "telephone_number": "770-632-9195",
            "fax_number": "770-632-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BIRKHILL",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691157",
            "telephone_number": "770-632-9195",
            "fax_number": "770-632-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADY",
        "first_name": "BRIDGET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP PROVIDER NUMBE",
            "identifier": "10043174",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richelle Angela Gonzalez-Brown, M.D
• Shannon Gonzalez, L.AC
• Richard W Gorman, MD
• Grace Harbour, Inc
• Grace Harbour, Inc.
• Sharon R Grant, LPC
• Brittani Marie Gray, LPC
• Hannah Gray, RPH
• Jack Gibson Gray, D.O.
• Karen Greene, M.D.

• Specialist in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.