Active NPI
Kathleen A Brady, MD
- Infectious Disease Physician
- Philadelphia, PA
National Provider Identifier
1811929284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD055944L
- Practice address
- 301 South 8TH Street
Duncan BLDG Suite 1B
Philadelphia, PA 19106 - Phone
- (215) 829-5354
- Fax
- (215) 829-7132
- NPI assigned
- Jul 7, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD055944L | PA | |
| Infectious Disease Physician | 207RI0200X | MD055944L | PA | Primary |
Addresses
Primary practice location
301 South 8TH Street
Duncan BLDG Suite 1B
Philadelphia, PA 19106
Mailing address
301 S. 8TH Street
Ste. 1B, Duncan BLDG.
Philadelphia, PA 19104
Phone (215) 829-5354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001569570007 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1811929284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 S. 8TH STREET",
"address_2": "STE. 1B, DUNCAN BLDG.",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "215-829-5354",
"fax_number": "215-829-7132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SOUTH 8TH STREET",
"address_2": "DUNCAN BLDG SUITE 1B",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19106",
"telephone_number": "215-829-5354",
"fax_number": "215-829-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD055944L",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "PA",
"license": "MD055944L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001569570007",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.