Brady, Peter K

Brady, Peter K is an individual health care provider with primary practice located at 730 Stony Landing Rd , Moncks Corner SC 29461-2904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brady, Peter K can be contacted via phone (843) 720-8363.

Contact Information

Primary practice address
730 Stony Landing Rd Moncks Corner SC 29461-2904
Phone: (843) 720-8363
Fax: (843) 761-7881
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 21589 South Carolina

Profile Details

NPI number 1003856352
LBN Legal business name Brady, Peter K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Oct 19th, 2015 - about 9 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 1003856352 NPPES
South Carolina MEDICAID 215895

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