Brady Geronimo Case, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD12323 Issued in RI

Practice address

1275 Wampanoag TRL Ste 3C
Riverside, RI 02915-1217

Phone

(401) 206-0304

Fax

(401) 343-6466

NPI assigned

Apr 16, 2007

Last updated

Nov 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Brady Geronimo Specht Case Other name

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Emma Pendleton Bradley Hospital

  • Psychiatric Hospital
  • Riverside, RI
  • NPI 1578768867
  Medicare reassignment NPD
• Braver Medical, PLLC

  dba Braver

  • Child & Adolescent Psychiatry Physician
  • Riverside, RI
  • NPI 1972265536
  NPD Authorized official
• Emma Pendleton Bradley Hospital

  • Psychiatry Physician
  • Riverside, RI
  • NPI 1073705943
  NPD

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1538384656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BAY RD",
            "city": "BARRINGTON",
            "state": "RI",
            "postal_code": "028064751",
            "telephone_number": "917-697-2890",
            "fax_number": "401-343-6466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 3C",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-206-0304",
            "fax_number": "401-343-6466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "BRADY",
        "middle_name": "GERONIMO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "2MA08516300",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "231158",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "MD12323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD12323",
            "identifier": "MEDICAL LICENSE",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRADY",
            "last_name": "CASE",
            "middle_name": "GERONIMO SPECHT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Raquel M. Carneiro, MD
• Allison Marie Carreiro
• Ilse Deyanira Carrizales, PH.D., CCFC
• E. Jane Carter, MD
• Stephen S. Cary, DMD
• Stephanie Catanese, M.D.
• Kathleen McNaughtan Cawley, LMHC-A
• Tiffaney A Cayton, AGACNP-BC
• Cedar and Sage Naturopathic Health LLC
• Abigail Elizabeth Celano, LICSW

• Child & Adolescent Psychiatry Physician in Riverside, RI
• Providers in Riverside, RI by specialty
• Child & Adolescent Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.