Brady, Charles F

Brady, Charles F is an individual health care provider with primary practice located at 903 C North 5Th Street , Estancia NM 87016. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Brady, Charles F can be contacted via phone (505) 384-2777.

Contact Information

Primary practice address
903 C North 5Th Street Estancia NM 87016
Phone: (505) 384-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X J8928 Texas
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X J8928 Texas

Profile Details

NPI number 1447248380
LBN Legal business name Brady, Charles F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Jun 18th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447248380 NPPES
New Mexico Other 00400M BLUE CROSS BLUE SHIELD OF NEW MEXICO
New Mexico MEDICAID 000E5032 BLUE CROSS BLUE SHIELD OF NEW MEXICO
New Mexico MEDICAID 119038103 BLUE CROSS BLUE SHIELD OF NEW MEXICO
New Mexico Other 36224 BLUE CROSS BLUE SHIELD OF NEW MEXICO
New Mexico Other PROVP11371 BLUE CROSS BLUE SHIELD OF NEW MEXICO

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