Provider Demographics
NPI:1336871433
Name:WEBB, BRADY MICHAEL (DPM)
Entity type:Individual
Prefix:DR
First Name:BRADY
Middle Name:MICHAEL
Last Name:WEBB
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-7532
Mailing Address - Country:US
Mailing Address - Phone:402-303-3220
Mailing Address - Fax:
Practice Address - Street 1:306 W 2ND ST
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-7532
Practice Address - Country:US
Practice Address - Phone:402-303-3220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE406213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery