Active NPI
Mary Scott Brady, PA-C
- Physician Assistant
- Winston Salem, NC
National Provider Identifier
1457875312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-07547
- Practice address
- 1351 Westgate Center Dr
Winston Salem, NC 27103-2934 - Phone
- (336) 718-7777
- NPI assigned
- Aug 1, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-07547 | NC | Primary |
Addresses
Primary practice location
1351 Westgate Center Dr
Winston Salem, NC 27103-2934
Mailing address
PO Box 751803
Charlotte, NC 28275
Phone (336) 718-7777
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mbrady508503@direct.novanthealth.org |
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- mbrady508503@direct.novanthealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1457875312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 751803",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "28275",
"telephone_number": "336-718-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 WESTGATE CENTER DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271032934",
"telephone_number": "336-718-7777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "MARY SCOTT",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-01",
"last_updated": "2020-10-05",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-07547",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mbrady508503@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1351 Westgate Center Dr",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271032934",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.