Brady, Daniel Edward

Brady, Daniel Edward is an individual health care provider with primary practice located at 2115 S Fremont Ave Suite 3300, Springfield MO 65804-2239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brady, Daniel Edward can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Suite 3300 Springfield MO 65804-2239
Phone: (417) 820-5200
Fax: (417) 820-5220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 2005018830 Missouri

Profile Details

NPI number 1184644064
LBN Legal business name Brady, Daniel Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Feb 11th, 2015 - about 10 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 1184644064 NPPES
Missouri MEDICAID 1184644064

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