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Contact Information

MARK BRADY, MD
593 EDDY ST
CLAVERICK 2
PROVIDENCE, RI02903-0290
 Phone: 014-444-4000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARK BRADY · (Male)

NPI # 1265660294
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2009
Last updated 10/06/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 050700
  • RI License # MD17161
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • NEWPORT HOSPITAL - (Acute Care)
    FRIENDSHIP STREET
    NEWPORT, RI 02840
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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