Neal Cearan Brady, L.AC.

Individual provider Active NPI Acupuncturist · Casselberry, FL

NPI 1770813784 · NPPES record last updated Aug 9, 2012

Key facts

NPI
1770813784
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AP 2300 (FL)
Practice address
300 Wilshire Blvd
Suite 237
Casselberry, FL 32707-5378
Phone
(954) 993-0994
NPI assigned
Jan 14, 2010
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AP 2300FLMDAcupuncturist
AC 155575ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Acupuncture and Wellness, LLC Acupuncturist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP 2300 FL Yes
Acupuncturist 171100000X AC 155575 OR

Addresses

Primary practice location

300 Wilshire Blvd
Suite 237
Casselberry, FL 32707-5378

Mailing address

1922 Bonanza CT
Winter Park, FL 32792-2026
Phone (954) 993-0994

Other providers in Casselberry, FL

All providers in Casselberry, FL · Acupuncturist in Florida

Sources for this page

Verify at the official NPI Registry.