Provider Demographics
NPI:1558775379
Name:MCGRADY, BRITTANY LARSON (MD)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:LARSON
Last Name:MCGRADY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 ORCHARD VILLAS AVE
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-4321
Mailing Address - Country:US
Mailing Address - Phone:919-823-7073
Mailing Address - Fax:
Practice Address - Street 1:1565 ORCHARD VILLAS AVE
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-4321
Practice Address - Country:US
Practice Address - Phone:919-823-7073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-19
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201701123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine