Stephenie Brady
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Okolona, MS
NPI 1700515848 · NPPES record last updated Jun 6, 2022
Key facts
- NPI
- 1700515848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- PT4999 (MS)
- Practice address
- 512 Rockwell Dr
Okolona, MS 38860-1622 - Phone
- (662) 447-5777
- NPI assigned
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT4999 | MS | MD | Physical Medicine & Rehabilitation Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | PT4999 | MS | Yes |
Addresses
Primary practice location
512 Rockwell Dr
Okolona, MS 38860-1622
Mailing address
599C Steed Rd
Ridgeland, MS 39157-1707
Other providers in Okolona, MS
- Access Family Health Services, Inc.
- Access Family Health Services, Inc.
- Michael Bullock
- Sarah Carollo
- Joy S Chapman
- Chickasaw FMC
- Family Medical Clinic of Okolona
All providers in Okolona, MS · Physical Medicine & Rehabilitation Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.