Provider Demographics
NPI:1083619134
Name:CADY, BRIAN T (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:T
Last Name:CADY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:865 LINCOLN RD
Mailing Address - Street 2:STE L10
Mailing Address - City:BETTENDORF
Mailing Address - State:IA
Mailing Address - Zip Code:52722-4159
Mailing Address - Country:US
Mailing Address - Phone:563-355-9191
Mailing Address - Fax:563-355-3419
Practice Address - Street 1:615 VALLEY VIEW DR
Practice Address - Street 2:SUITE 203
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-6150
Practice Address - Country:US
Practice Address - Phone:309-281-2950
Practice Address - Fax:309-281-2959
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2021-04-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036-096212207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4796890016OtherDMERC
IA97784OtherWELLMARK BC/BS
034239OtherHEALTH ALLIANCE
IL036096212Medicaid
64901OtherIOWA HEALTH SOLUTIONS
IL0109OtherJOHN DEERE HEALTH PLAN
IA97784OtherWELLMARK BC/BS
G56082Medicare UPIN