Patricia Ann Brady, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

M4526 Issued in ID

Practice address

222 Southway Ave
Ste C
Lewiston, ID 83501-2703

Phone

(208) 746-1333

Fax

(208) 746-8090

NPI assigned

Jan 27, 2006

Last updated

Oct 16, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Southway Internists PLLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1033255583
  NPD
• Laennec Inpatient Services

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1053344085
  NPD (past)

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1922079037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SOUTHWAY AVE",
            "address_2": "STE C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012703",
            "telephone_number": "208-746-1333",
            "fax_number": "208-746-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SOUTHWAY AVE",
            "address_2": "STE C",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012703",
            "telephone_number": "208-746-1333",
            "fax_number": "208-746-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M4526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002615300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Boyd
• Steven Randolph Boyea, MD
• Thomas Boyer, DC
• Bradley J. Morlock, D.D.S.,P.C.
• Kelly Michelle Brady
• Jody Bramell, PTA
• Bridgeway Counseling Center, LC
• Katelyn Brimhall, PA
• Anastasia Briney, LMSW
• Meghan Cyrena Bristlin, DMD

• Internal Medicine Physician in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Internal Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.