Provider Demographics
NPI:1083040018
Name:BRADY, RYAN A (DC)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:A
Last Name:BRADY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:999 BRICKELL AVE STE 920
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3059
Mailing Address - Country:US
Mailing Address - Phone:305-448-2600
Mailing Address - Fax:305-390-3011
Practice Address - Street 1:999 BRICKELL AVE STE 920
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-3059
Practice Address - Country:US
Practice Address - Phone:305-448-2600
Practice Address - Fax:305-390-3011
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME141598207RC0000X
FLAPRN9324063363LF0000X
FLCH10986111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily