Individual provider Active NPI

Jacob Sullivan Brady, MD

  • Otolaryngology Physician
  • Little Rock, AR
National Provider Identifier
1659875425
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
E-19212 Issued in AR
Practice address
8901 Carti Way
Little Rock, AR 72205-6523
Phone
(501) 906-3000
NPI assigned
Mar 19, 2018
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X E-19212 AR Primary

Addresses

Primary practice location

8901 Carti Way
Little Rock, AR 72205-6523

Mailing address

PO Box 55050
Little Rock, AR 72215-5050
Phone (501) 906-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240619000754 OH Practitioner - Otolaryngology 4880137819 Reassigns benefits to 1 organization
I20250626002849 AR Practitioner - Otolaryngology 4880137819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Rutgers New Jersey Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Aug 11, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
University Hospitals Medical Group Inc Otolaryngology CurrentSince May 1, 2024 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Aug 11, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: jbrady579300@ehrdirect.uhhospitals.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1659875425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55050",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722155050",
            "telephone_number": "501-906-3000",
            "fax_number": "501-907-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 CARTI WAY",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056523",
            "telephone_number": "501-906-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "JACOB",
        "middle_name": "SULLIVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-19",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E-19212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.