Individual provider Active NPI

Scott C Brady, M.D.

  • Family Medicine Physician
  • Maitland, FL
National Provider Identifier
1942232566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 57207 Issued in FL
Practice address
901 N Lake Destiny Rd
Suite 400
Maitland, FL 32751-4844
Phone
(407) 200-2860
Fax
(407) 200-1365
NPI assigned
Jul 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 57207 FL Primary

Addresses

Primary practice location

901 N Lake Destiny Rd
Suite 400
Maitland, FL 32751-4844

Mailing address

901 N Lake Destiny Rd
Suite 400
Maitland, FL 32751-4844
Phone (407) 200-2860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100910000789 FL Practitioner - Internal Medicine 5395714000 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 57207FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System Sunbelt, Inc. Family Medicine CurrentSince Jul 29, 2010 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Family Medicine CurrentSince Jul 29, 2010 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine PastSince Dec 1, 2024 Accepting new patients
Adventist Health System/Sunbelt, Inc Family Medicine PastSince Mar 18, 2010 Accepting new patients
Florida Radiology Imaging at Lake Mary, LLC PastSince Jan 1, 2020 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

12500 State Road 535
Orlando, FL 32836
Phone (407) 827-8164

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942232566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 N LAKE DESTINY RD",
            "address_2": "SUITE 400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514844",
            "telephone_number": "407-200-2860",
            "fax_number": "407-200-1365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N LAKE DESTINY RD",
            "address_2": "SUITE 400",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514844",
            "telephone_number": "407-200-2860",
            "fax_number": "407-200-1365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADY",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 57207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.