Individual provider Active NPI

Brady R Rumph, MD

  • Pain Medicine Physician
  • Columbus, GA
National Provider Identifier
1467630558
Registry record updated Jul 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
063216 Issued in GA
Practice address
2300 Manchester Expy
Ste A6
Columbus, GA 31904-6802
Phone
(706) 322-6646
Fax
(706) 322-3226
NPI assigned
Jan 31, 2008
Last updated
Jul 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 001498 GA
Anesthesiology Physician 207L00000X 063216 GA
Pain Medicine Physician 208VP0000X 063216 GA Primary

Addresses

Primary practice location

2300 Manchester Expy
Ste A6
Columbus, GA 31904-6802

Mailing address

PO Box 7217
Columbus, GA 31908-7217
Phone (706) 320-2773

Other identifiers 3

IdentifierTypeStateIssuer
365137301MedicaidGA
123037MedicaidAL
202I053426OtherGAMEDICARE PTAN

Other names 1

  • Ms. Brady Elizabeth Ryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001498GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Physician Practices LLC Current Accepting new patients
St Francis Physician Practices LLC CurrentSince Jan 1, 2016 Accepting new patients
St. Francis Center for Surgical Care, LLC Past Accepting new patients
St Francis Physician Practices LLC Past Accepting new patients

Locations

2122 Manchstr Expy
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste A006
Columbus, GA 31904
Phone (706) 322-1651

2300 Manchester Expy
Ste A101A
Columbus, GA 31904
Phone (706) 320-3128

2300 Manchester Expy
Ste C001
Columbus, GA 31904
Phone (706) 243-4594

Interoperability endpoints

  • Direct secure messaging: brady.rumph@sfhga.gadirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437955200000",
    "number": "1467630558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7217",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319087217",
            "telephone_number": "706-320-2773",
            "fax_number": "706-596-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 MANCHESTER EXPY",
            "address_2": "STE A6",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046802",
            "telephone_number": "706-322-6646",
            "fax_number": "706-322-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMPH",
        "first_name": "BRADY",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2015-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "001498",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "063216",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "063216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "365137301",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123037",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I053426",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "RYAN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.