| Terry M Brady, MD | |
|
2200 E Washington St, Bloomington, IL 61701-4364 | |
| (309) 662-3311 | |
| Not Available |
| Full Name | Terry M Brady |
|---|---|
| Gender | Male |
| Speciality | Radiology - Vascular & Interventional Radiology |
| Location | 2200 E Washington St, Bloomington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124030705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036069904 (Illinois) | Secondary |
| 2085R0204X | Radiology - Vascular & Interventional Radiology | 036-069904 (Illinois) | Primary |
| Entity Name | Central Illinois Radiological Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538192828 PECOS PAC ID: 9436061827 Enrollment ID: O20031104000332 |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Terry M Brady, MD 111 Oakwood Rd, East Peoria, IL 61611-1853 Ph: (309) 740-4272 | Terry M Brady, MD 2200 E Washington St, Bloomington, IL 61701-4364 Ph: (309) 662-3311 |
Dr. Joseph Porinchu Alenghat, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1709 Jumer Dr, Suite B, Bloomington, IL 61704 Phone: 309-665-0640 Fax: 309-664-6809 | |
Kyle Stang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2200 E Washington St, Bloomington, IL 61701 Phone: 309-662-3311 |