Active NPI
Chad Brady, MD
- Surgery Physician
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 45048
- Practice address
- 102 Doctors Dr
Dothan, AL 36301-2911 - Phone
- (334) 792-5184
- Fax
- (334) 792-5190
- NPI assigned
- Apr 16, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 45048 | AL | Primary |
Addresses
Primary practice location
102 Doctors Dr
Dothan, AL 36301-2911
Mailing address
PO Box 1928
Dothan, AL 36302-1928
Phone (334) 793-8087
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230323000654 | AL | Practitioner - General Surgery | 0840596995 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Florida State University College of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Houston County Healthcare Authority
Practice addresses (Care Compare)
1812 E Main St
Dothan, AL 36301-3000
Phone (334) 793-6573
Hospital & facility affiliations
- Southeast Health Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 14 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45058 | AL | MD | Emergency Medicine Physician |
| 45048 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Houston County Healthcare Authority | Past | Accepting new patients | |
| Southeast Alabama Medical Center Employee Pharmacy | Past | Accepting new patients |
Locations
1118 Ross Clark Cir
Ste 200
Dothan, AL 36301
Phone (334) 793-4804
1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
102 Doctors Dr
Dothan, AL 36301
Phone (334) 793-8804
Organizations & group practices 8
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.
-
- General Acute Care Hospital
- Dothan, AL
- NPI 1164403861
-
- Clinical Medical Laboratory
- Dothan, AL
- NPI 1114161601
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1992524607
-
- Anatomic Pathology & Clinical Pathology Physician
- Dothan, AL
- NPI 1134190648
-
- Pharmacy
- Dothan, AL
- NPI 1053526368
Hospital & facility affiliations 1
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": "1397606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1831519982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1928",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363021928",
"telephone_number": "334-793-8087",
"fax_number": "334-793-8191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 DOCTORS DR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012911",
"telephone_number": "334-792-5184",
"fax_number": "334-792-5190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "CHAD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-16",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "45048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.