DR. TIMOTHY TOBIN BRADY MD NPI 1518056258

NPI Information

NPI: 1518056258
Provider Name: DR. TIMOTHY TOBIN BRADY, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
10012 KENNERLY RD
STE 101
ST LOUIS, MO
ZIP 63128
Phone: (314) 543-5200
Get Directions

DR. Timothy Tobin Brady, MD is a gastroenterology internal medicine in St Louis, MO. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Timothy Tobin Brady, MD NPI is 1518056258. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10012 KENNERLY RD
STE 101
ST LOUIS, MO
ZIP 63128
Phone: (314) 543-5200
Fax: (314) 543-5219

The enumeration date for this NPI number is 10/12/2006 and was last updated on 8/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	R9C27	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	202249520	MEDICAID	MISSOURI
2	124510070	MEDICARE PIN	MISSOURI
3	A12455	MEDICARE UPIN
4	002011267	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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