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Contact Information

CHAD BRADY, DPM
5111 JUAN TABO BLVD NE
ALBUQUERQUE, NM87111-2672
 Phone: 505-880-1000
 Fax: 505-880-1002
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CHAD BRADY · (Male)

NPI # 1891705794
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 08/09/2006
Last updated 05/24/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 289
  • Other P00078790 RAILROAD MCR
  • NM Other 536064075 AETNA
  • NM Other NM005490 BLUES
  • NM Other 4583990001 DME
  • NM Other 181866400 ESA
  • NM Other 10004402 LOVELACE
  • NM Other PROVB11359 MOLINA
  • NM Other 201042850 PRESBITERIAN
Hospital affiliation(s)
  • EVANSTON REGIONAL HOSPITAL - (Acute Care)
    190 ARROWHEAD DR
    EVANSTON, WY 82930
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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