ELIZABETH W. BRADY MD NPI 1861493132

NPI Information

NPI: 1861493132
Provider Name: ELIZABETH W. BRADY, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

Organization: BRISTOL HOSPITAL MULTI SPECIALTY GROUP INC

PECOS Registration: Yes

Address:
100 WASON AVENUE
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-5265
Get Directions

Elizabeth W. Brady, MD is a surgical oncology surgery in Springfield, MA with 42 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Elizabeth W. Brady, MD NPI is 1861493132. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Graduation Year:1982

The provider's business location address is:

100 WASON AVENUE
SPRINGFIELD, MA
ZIP 01107-179
Phone: (413) 794-5265
Fax: (413) 794-1794

The NPI 1861493132 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 8/9/2005 and was last updated on 1/18/2018.

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	2086X0206X	Surgery	Surgical Oncology	270355	MASSACHUSETTS	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	0003031 001	OTHER	CONNECTICUT	CIGNA
2	06-1406459	OTHER	CONNECTICUT	PIONEER
3	061200871	OTHER	CONNECTICUT	MULTIPLAN PHCS
4	0S2066	OTHER	CONNECTICUT	HEALTH NET
5	782084	OTHER	CONNECTICUT	AETNA
6	001261296	MEDICAID	CONNECTICUT
7	061200871	OTHER	CONNECTICUT	UNITED HEALTHCARE
8	061200871	OTHER	CONNECTICUT	GREAT WEST HEALTHCARE
9	3163547	OTHER	MASSACHUSETTS	MASSHEALTH
10	P825539	OTHER	CONNECTICUT	OXFORD
11	010026129CT03	OTHER	CONNECTICUT	ANTHEM BCBS
12	026129-0403	OTHER	CONNECTICUT	CONNECTICARE
13	06-1406459	OTHER	CONNECTICUT	COLONIAL COOPERATIVE CARE
14	061200871	OTHER	CONNECTICUT	COVENTRY/FIRST HEALTH
15	10790	OTHER	CONNECTICUT	HEALTH NEW ENGLAND
16	061200871	OTHER	CONNECTICUT	NORTHEAST HEALTH DIRECT CHN PPO
17	061200871	OTHER	CONNECTICUT	CORVEL

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: 11/14/2023

NPI Synchronization or Removal

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