Active NPI
John H Brady, M.D.
- Orthopaedic Surgery Physician
- San Diego, CA
National Provider Identifier
1760654685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 5843415-1205
- Practice address
- 6719 Alvarado Rd
Suite 200
San Diego, CA 92120-5270 - Phone
- (619) 229-5018
- Fax
- (619) 229-2968
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 5843415-1205 | UT | Primary |
| Orthopaedic Surgery Physician | 207X00000X | A103451 | CA |
Addresses
Primary practice location
6719 Alvarado Rd
Suite 200
San Diego, CA 92120-5270
Mailing address
6719 Alvarado Rd
Suite 200
San Diego, CA 92120-5270
Phone (619) 229-5018
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A103451 | CA | MD | Orthopaedic Surgery Physician |
| 5843415-1205 | UT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hofmann Arthritis Institute, PLLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
11613 S State St
Draper, UT 84020
Phone (385) 414-7080
24 S 1100 E
Ste 101
Slc, UT 84102
Phone (801) 355-2424
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1215248612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217376000000",
"number": "1760654685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205270",
"telephone_number": "619-229-5018",
"fax_number": "619-229-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6719 ALVARADO RD",
"address_2": "SUITE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921205270",
"telephone_number": "619-229-5018",
"fax_number": "619-229-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "JOHN",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2008-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "5843415-1205",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "A103451",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.