Anne Lorraine Brady, M.D.
Individual provider Active NPI Emergency Medicine Physician · Louisville, KY
NPI 1679614853 · NPPES record last updated Aug 25, 2014
Key facts
- NPI
- 1679614853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 41997 (KY)
- Practice address
- 1 Audubon Plaza Dr
Louisville, KY 40217-1318 - Phone
- (502) 634-6767
- Fax
- (502) 634-6775
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180308001419 | FL | Practitioner - Emergency Medicine | 0840386868 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41997 | KY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Panhandle Emergency Physicians a Div of Sacred Heart Hosp Pensacola | Emergency Medicine | Current |
Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current |
Accepting new patients |
Locations
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212
9400 W Highway 98
Pensacola, FL 32506
Phone (850) 457-2200
5151 N 9th Ave
Pensacola, FL 32504
Phone (850) 202-4700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 41997 | KY | Yes |
Addresses
Primary practice location
1 Audubon Plaza Dr
Louisville, KY 40217-1318
Mailing address
PO Box 36218
Louisville, KY 40233-6218
Phone (502) 634-6767
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100023610 | Medicaid | KY |
Other providers in Louisville, KY
- Alex Bradshaw
- Alicon Kay Bradshaw
- Allison Nicole Bradshaw
- Theresa Bradshaw
- Brady Chiropractic Healthcare Center PSC
- Kayla M. Brady
- Sean Patrick Brady
- Jade Sophia Braga
- James Michael Bragg
- Madeline Bragg
All providers in Louisville, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.