BRADY EAST STD CLINIC INC. NPI 1306969613

NPI Information

NPI: 1306969613
Provider Name: BRADY EAST STD CLINIC, INC.

Other Name: BESTD CLINIC

Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization

Address:
1240 E BRADY ST
MILWAUKEE, WI
ZIP 53202
Phone: (414) 272-2144
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BRADY EAST STD CLINIC, INC. is a voluntary or charitable in Milwaukee, WI. BRADY EAST STD CLINIC, INC. NPI is 1306969613. The provider is registered as an organization entity type.
The provider Other Name Is Bestd Clinic.

The provider's business location address is:

1240 E BRADY ST
MILWAUKEE, WI
ZIP 53202-603
Phone: (414) 272-2144
Fax: (414) 272-6568

The provider's authorized official is Kevin Michael Lynch .
The authorized official title is Director and has the following contact phone number (414) 272-2144.

The CLIA number assigned to this NPI record is 52D0389999 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.

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	251V00000X	Voluntary or Charitable		2969-800	WISCONSIN	Yes

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

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