Provider Demographics
NPI:1356008445
Name:HULS, BRADY JOHN
Entity Type:Individual
Prefix:
First Name:BRADY
Middle Name:JOHN
Last Name:HULS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 WASHINGTON ST STE D
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2812
Mailing Address - Country:US
Mailing Address - Phone:319-553-6919
Mailing Address - Fax:319-575-6161
Practice Address - Street 1:409 WASHINGTON ST STE D
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2812
Practice Address - Country:US
Practice Address - Phone:319-553-6919
Practice Address - Fax:319-575-6161
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0000002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry