Keith Brady, M.D., P.a

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

ME37799 Issued in FL

Legal business name

KEITH BRADY, M.D., P.A

Practice address

1201 5TH Ave N
Suite 412
St Petersburg, FL 33705-1400

Phone

(727) 820-7992

Fax

(727) 820-7901

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Keith Brady, MD

Title

Medical Doctor

Phone

(727) 820-7992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1861754590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 412",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051400",
            "telephone_number": "727-820-7992",
            "fax_number": "727-820-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 5TH AVE N",
            "address_2": "SUITE 412",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051400",
            "telephone_number": "727-820-7992",
            "fax_number": "727-820-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH BRADY, M.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "727-820-7992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME37799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Keglovits, MT-BC
• Wendy Kehl Wood, ARNP
• Wayne H. Kehm II, DDS, PA
• Breanna Rose Keich
• Keith a. Brady M.D., P.a.
• Keith Golin PHD FL LLC
• Keith Runyan, MD
• Alaina Keith, MD
• Margaret Ann Kelleher, M.D.
• Winnie J Keller, M.S. CCC/A, FAAA

• Primary Care Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.

Verify at the official NPI Registry.