Brady, Timothy B

Brady, Timothy B is an individual health care provider with primary practice located at 9443 E. 38Th St. , Indianapolis IN 46236-2132. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brady, Timothy B can be contacted via phone (317) 890-2100.

Contact Information

Primary practice address
9443 E. 38Th St. Indianapolis IN 46236-2132
Fax: (317) 890-2171
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01043951A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01043951A Indiana

Profile Details

NPI number 1942253208
LBN Legal business name Brady, Timothy B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Nov 11th, 2021 - 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 1942253208 NPPES
Indiana MEDICAID 200200910
Indiana Other 000000086745

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