Tamara Sue Brady, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS028473L Issued in PA

Practice address

155 Little Conestoga Rd
Suite 2
Downingtown, PA 19335-1847

Phone

(610) 458-8025

Fax

(610) 458-3940

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tamara Sue Brady Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679653315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 WATCH HILL RD",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412192",
            "telephone_number": "610-280-6835",
            "fax_number": "610-280-9652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 LITTLE CONESTOGA RD",
            "address_2": "SUITE 2",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193351847",
            "telephone_number": "610-458-8025",
            "fax_number": "610-458-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "TAMARA",
        "middle_name": "SUE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS028473L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "BRADY",
            "middle_name": "SUE",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Peter Boe, MA
• Teresa Bompadre, RN
• Bonds Eye Care, Inc.
• Sara Bonds, OD
• Karyn Bosworth, M.ED., M.A., CCC-SLP
• Brandywine Village Family Medicine PC
• Gregory Brasco, PSY.D.
• Melissa Breslin, PHARMACIST
• Karin D Brian, DDS
• Carrieann Rewkowski Broderick, D.M.D.

• General Practice Dentistry in Downingtown, PA
• Providers in Downingtown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.