Robert Brady, Md, Llc | |
8301 Maryland Ave Ste 330 Clayton MO 63105-3660 | |
(314) 721-3381 | |
(314) 721-3384 |
Full Name | Robert Brady, Md, Llc |
---|---|
Speciality | Psychiatry & Neurology |
Location | 8301 Maryland Ave Ste 330, Clayton, Missouri |
Authorized Official Name and Position | Susan Allman (OFFICE MANAGER) |
Authorized Official Contact | 3147213381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert Brady, Md, Llc 8301 Maryland Ave Ste 330 Clayton MO 63105-3660 Ph: (314) 721-3381 | Robert Brady, Md, Llc 8301 Maryland Ave Ste 330 Clayton MO 63105-3660 Ph: (314) 721-3381 |
NPI Number | 1235361593 |
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Provider Enumeration Date | 08/19/2009 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 2365589330 |
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Medicare Enrollment ID | O20091023000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235361593 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 108492 (Missouri) | Primary |
Provider Name | Robert Brady |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1003820184 PECOS PAC ID: 5092764514 Enrollment ID: I20050121000293 |
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