Active NPI
Siobhan Brady, PA-C
- Physician Assistant
- Westport, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA102170
- Practice address
- 829 American Legion Hwy
Westport, MA 02790-4128 - Phone
- (508) 306-1400
- Fax
- (978) 371-0522
- NPI assigned
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Fairhaven, MA
- NPI 1336137629
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Aspire Dermatology LLCCoastal Dermatology Inc
Practice addresses (Care Compare)
102 Valley Rd
Middletown, RI 02842-5237
Phone (401) 239-1800
829 American Legion Hwy
Westport, MA 02790-4128
Phone (508) 306-1400
Hospital & facility affiliations
- The Miriam Hospital
- Southcoast Hospitals Group
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.23 of 100
- Quality
- 95.87
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.56
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105002942 | RI | Practitioner - Physician Assistant | 1951771021 | Reassigns benefits to 2 organizations |
| I20251215000658 | MA | Practitioner - Physician Assistant | 1951771021 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA102170 | MA | MD | Physician Assistant |
| PA01499 | RI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Professionals Inc. | Current | Accepting new patients | |
| Coastal Dermatology Inc | Current | Accepting new patients | |
| Southcoast Physicians Group, Inc. | Past | Accepting new patients |
Locations
829 American Legion Hwy
Westport, MA 02790
Phone (508) 306-1400
1672 S County Trl
Ste 101
East Greenwich, RI 02818
Phone (401) 885-7546
1672 S County Trl
East Greenwich, RI 02818
Phone (401) 885-7546
148 W River St
Ste 1B
Providence, RI 02904
Phone (401) 272-9310
Interoperability endpoints
- sbrady@aspire.emadirect.md
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA102170 | MA | Primary |
| Physician Assistant | 363A00000X | PA01499 | RI |
Addresses
NPPES NPI RegistryPrimary practice location
829 American Legion Hwy
Westport, MA 02790-4128
Mailing address
526 Main St Ste 302
Acton, MA 01720-3301
Phone (978) 371-7010
Other practice location 1
1672 S County Trl
East Greenwich, RI 02818-5098
Phone (401) 885-7546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2026.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1821739764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "526 MAIN ST STE 302",
"city": "ACTON",
"state": "MA",
"postal_code": "017203301",
"telephone_number": "978-371-7010",
"fax_number": "978-371-0522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "829 AMERICAN LEGION HWY",
"city": "WESTPORT",
"state": "MA",
"postal_code": "027904128",
"telephone_number": "508-306-1400",
"fax_number": "978-371-0522"
}
],
"practiceLocations": [
{
"address_1": "1672 S County Trl",
"address_purpose": "LOCATION",
"city": "East Greenwich",
"state": "RI",
"postal_code": "028185098",
"country_code": "US",
"telephone_number": "401-885-7546",
"fax_number": "508-885-6639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADY",
"first_name": "SIOBHAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA102170",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "RI",
"license": "PA01499",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westport, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.