Case, Brady Geronimo

Case, Brady Geronimo is an individual health care provider with primary practice located at 1275 Wampanoag Trl Ste 3C , Riverside RI 02915-1217. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Case, Brady Geronimo can be contacted via phone (401) 206-0304.

Contact Information

Primary practice address
1275 Wampanoag Trl Ste 3C Riverside RI 02915-1217
Phone: (401) 206-0304
Fax: (401) 343-6466
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 2MA08516300 New Jersey
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 231158 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD12323 Rhode Island

Profile Details

NPI number 1538384656
LBN Legal business name Case, Brady Geronimo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2007
Last updated Nov 15th, 2022 - about 4 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 1538384656 NPPES
Rhode Island Other MEDICAL LICENSE MD12323

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