Individual provider Active NPI

Siobhan Brady, PA-C

  • Physician Assistant
  • Westport, MA
National Provider Identifier
1821739764
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA102170 Issued in MA
Practice address
829 American Legion Hwy
Westport, MA 02790-4128
Phone
(508) 306-1400
Fax
(978) 371-0522
NPI assigned
Apr 5, 2022
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA102170 MA Primary
Physician Assistant 363A00000X PA01499 RI

Addresses

Primary 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230105002942 RI Practitioner - Physician Assistant 1951771021 Reassigns benefits to 2 organizations
I20251215000658 MA Practitioner - Physician Assistant 1951771021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians
Coastal Dermatology IncGroup PAC ID 3779860390, 10 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
90.23 of 100Reported as group
Quality
95.87
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA102170MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dermatology Inc CurrentSince Jan 19, 2026 Accepting new patients
Dermatology Professionals Inc. CurrentSince Jan 19, 2026 Accepting new patients
Southcoast Physicians Group, Inc. PastSince Oct 23, 2022 Accepting new patients

Locations

829 American Legion Hwy
Westport, MA 02790
Phone (508) 306-1400

1672 S County Trl
East Greenwich, RI 02818
Phone (401) 885-7546

1672 S County Trl
Ste 101
East Greenwich, RI 02818
Phone (401) 885-7546

148 W River St
Ste 1B
Providence, RI 02904
Phone (401) 272-9310

Interoperability endpoints

  • Direct secure messaging: sbrady@aspire.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Verify at the official NPI Registry.