Provider Demographics
NPI:1588865257
Name:BRADY, DAVID M (ND)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:BRADY
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:54 BLUE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-4001
Mailing Address - Country:US
Mailing Address - Phone:203-650-1310
Mailing Address - Fax:203-576-4591
Practice Address - Street 1:115 TECHNOLOGY DR
Practice Address - Street 2:SUITE A200
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6337
Practice Address - Country:US
Practice Address - Phone:203-445-0795
Practice Address - Fax:203-452-3688
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000335175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath