Brady, Stephen T

Brady, Stephen T is an individual health care provider with primary practice located at 2376 Cypress Cir Ste 102 , Conway SC 29526-8964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Brady, Stephen T can be contacted via phone (843) 347-8953.

Contact Information

Primary practice address
2376 Cypress Cir Ste 102 Conway SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 36435 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 162690 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 162690 New York
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 36435 South Carolina

Profile Details

NPI number 1871588251
LBN Legal business name Brady, Stephen T
Credentials MD, FACCP, FSCAI
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Jul 9th, 2020 - about 5 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 1871588251 NPPES
Massachusetts Other 060071214 RR MEDICARE
Massachusetts MEDICAID GP0965 RR MEDICARE
Massachusetts MEDICAID 2011824 RR MEDICARE
Massachusetts MEDICAID 02186125 RR MEDICARE
Massachusetts Other 060067418 RR MEDICARE
Massachusetts Other CC6110 RR MEDICARE

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