BRADY MITCHELL HARRISON PA NPI 1033116736

NPI Information

NPI: 1033116736
Provider Name: BRADY MITCHELL HARRISON, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2455 NE LOOP 410
SUITE 100
SAN ANTONIO, TX
ZIP 78217
Phone: (210) 599-6000
Get Directions

Brady Mitchell Harrison, PA is a medical physician assistant in San Antonio, TX with 25 years of experience. Brady Mitchell Harrison, PA NPI is 1033116736. 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:

2455 NE LOOP 410
SUITE 100
SAN ANTONIO, TX
ZIP 78217-649
Phone: (210) 599-6000
Fax: (210) 657-5586

The NPI 1033116736 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 10/17/2016.

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	363AM0700X	Physician Assistant	Medical	PA02499	TEXAS	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	Other Provider Identifier Issuer
1	TXB155678	OTHER		WELLMED MEDICAL GROUP PA
2	313789501	OTHER	TEXAS	WELLMED MEDICAID

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: 4/28/2024

NPI Synchronization or Removal

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