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:
Health care specialties
| Specialty | Code | License # | 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 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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