Active NPI
Elizabeth W. Brady, MD
- Surgical Oncology Physician
- Springfield, MA
National Provider Identifier
1861493132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 270355
- Practice address
- 100 Wason Avenue
Springfield, MA 01107-1179 - Phone
- (413) 794-5265
- Fax
- (413) 794-1794
- NPI assigned
- Aug 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 270355 | MA | Primary |
Addresses
Primary practice location
100 Wason Avenue
Springfield, MA 01107-1179
Mailing address
280 Chestnut Street
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700
Other identifiers 17
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0003031 001 | Other | CT | CIGNA |
| 061200871 | Other | CT | GREAT WEST HEALTHCARE |
| 782084 | Other | CT | AETNA |
| 001261296 | Medicaid | CT | |
| 10790 | Other | CT | HEALTH NEW ENGLAND |
| 06-1406459 | Other | CT | COLONIAL COOPERATIVE CARE |
| 061200871 | Other | CT | NORTHEAST HEALTH DIRECT CHN PPO |
| 061200871 | Other | CT | MULTIPLAN PHCS |
| 0S2066 | Other | CT | HEALTH NET |
| 010026129CT03 | Other | CT | ANTHEM BCBS |
| 026129-0403 | Other | CT | CONNECTICARE |
| 061200871 | Other | CT | UNITED HEALTHCARE |
| 061200871 | Other | CT | CORVEL |
| 06-1406459 | Other | CT | PIONEER |
| 061200871 | Other | CT | COVENTRY/FIRST HEALTH |
| 3163547 | Other | MA | MASSHEALTH |
| P825539 | Other | CT | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 54.86 of 100
- Quality
- 11.77
- Promoting interoperability
- 98
- Improvement activities
- 0
- Cost
- 73.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 270355 | MA | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartford Healthcare Medical Group, Inc | Current | Accepting new patients | |
| Bristol Hospital Multi Specialty Group, Inc | Current | Accepting new patients | |
| Hartford Clinical Associates, P.C. | Past | Accepting new patients |
Locations
41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000
15 Riverside Ave
Bristol, CT 06010
Phone (860) 516-7593
55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144
Organizations & group practices 3
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 Practice Physician
- Bristol, CT
- NPI 1649265679
-
- Surgery Physician
- Wethersfield, CT
- NPI 1043561301
-
- Transplant Surgery Physician
- Hartford, CT
- NPI 1134282460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1861493132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "280 CHESTNUT STREET",
"address_2": "2ND FLOOR",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011991001",
"telephone_number": "413-794-5700",
"fax_number": "413-794-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WASON AVENUE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071179",
"telephone_number": "413-794-5265",
"fax_number": "413-794-1794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "ELIZABETH",
"middle_name": "W.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "MA",
"license": "270355",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0003031 001",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST HEALTHCARE",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "782084",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001261296",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "10790",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLONIAL COOPERATIVE CARE",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT CHN PPO",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN PHCS",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "0S2066",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "010026129CT03",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "026129-0403",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PIONEER",
"identifier": "06-1406459",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY/FIRST HEALTH",
"identifier": "061200871",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "3163547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P825539",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.