Active NPI
Palmer Brady
- Athletic Trainer
- Rockville, MD
National Provider Identifier
1457759136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- A00533
- Practice address
- 9909 Medical Center Dr
Rockville, MD 20850-6361 - Phone
- (301) 523-2208
- NPI assigned
- Dec 12, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | A00533 | MD | Primary |
Addresses
Primary practice location
9909 Medical Center Dr
Rockville, MD 20850-6361
Mailing address
10404 Kinloch Rd
Silver Spring, MD 20903-1510
Phone (301) 523-2208
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A00533 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1457759136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10404 KINLOCH RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209031510",
"telephone_number": "301-523-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9909 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208506361",
"telephone_number": "301-523-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "PALMER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "A00533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.