Daniel P Brady, PA-C, DC
Individual provider Active NPI Physician Assistant · Reno, NV
NPI 1720299472 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1720299472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA1576 (NV)
- Practice address
- 1 E Liberty St Ste 600
Reno, NV 89501-2110 - Phone
- (775) 636-6200
- Fax
- (775) 249-0010
- NPI assigned
- May 24, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
3500 Lakeside CT
Reno, NV 89509-4862
Phone (775) 636-6200
Hospital & facility affiliations
- Renown Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120514000608 | NV | Practitioner - Chiropractic | 9830352616 | Reassigns benefits to 2 organizations |
| I20150216001949 | NV | Practitioner - Physician Assistant | 9830352616 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| B01391 | NV | MD | Chiropractor |
| A-31007 | NV | MD | Homeopath |
| PA1576 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ali Nairizi MD PC | Current |
Accepting new patients | |
| Lawrence R. Davis | Chiropractor | Past |
Accepting new patients |
| Renown Regional Medical Center | Past |
Accepting new patients |
Locations
6522 S McCarran Blvd
Ste A
Reno, NV 89509
Phone (775) 384-1127
5500 Reno Corporate Dr
Ste 300
Reno, NV 89511
Phone (714) 396-6128
Interoperability endpoints
- dbrady@plthc.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homeopath | 175L00000X | A-31007 | NV | |
| Physician Assistant | 363A00000X | PA1576 | NV | Yes |
| Chiropractor | 111N00000X | B01391 | NV |
Addresses
Primary practice location
1 E Liberty St Ste 600
Reno, NV 89501-2110
Mailing address
550 W Plumb LN # 185
Reno, NV 89509-3468
Phone (775) 636-6200
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.