Active NPI
Albert Michael Brady, MD
- Medical Oncology Physician
- Yakima, WA
National Provider Identifier
1508872458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- MD00044836
- Practice address
- 3911 Castlevale Road
Suite 201
Yakima, WA 98902-7807 - Phone
- (509) 454-9499
- Fax
- (509) 457-4994
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | MD00044836 | WA | Primary |
Addresses
Primary practice location
3911 Castlevale Road
Suite 201
Yakima, WA 98902-7807
Mailing address
PO Box 996
Hayden, ID 83835-0996
Phone (208) 664-4026
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8421083 | Medicaid | WA | |
| 8421803 | Medicaid | WA |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00044836 | WA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1508872458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 996",
"city": "HAYDEN",
"state": "ID",
"postal_code": "838350996",
"telephone_number": "208-664-4026",
"fax_number": "208-664-4840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 CASTLEVALE ROAD",
"address_2": "SUITE 201",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989027807",
"telephone_number": "509-454-9499",
"fax_number": "509-457-4994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "ALBERT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WA",
"license": "MD00044836",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8421083",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8421803",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.