| Robert Brady, MD, LLC | |
|
8301 Maryland Ave Ste 330 Clayton MO 63105-3660 | |
| (314) 721-3381 | |
| (314) 721-3384 |
| Full Name | Robert Brady, MD, LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8301 Maryland Ave Ste 330, Clayton, Missouri |
| Authorized Official Name and Position | Susan Allman (OFFICE MANAGER) |
| Authorized Official Contact | 3147213381 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Brady, MD, LLC 8301 Maryland Ave Ste 330 Clayton MO 63105-3660 Ph: (314) 721-3381 | Robert Brady, MD, LLC 8301 Maryland Ave Ste 330 Clayton MO 63105-3660 Ph: (314) 721-3381 |
| NPI Number | 1235361593 |
|---|---|
| Provider Enumeration Date | 08/19/2009 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/09/2024 |
| Medicare PECOS PAC ID | 2365589330 |
|---|---|
| Medicare Enrollment ID | O20091023000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235361593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 108492 (Missouri) | Primary |
| Provider Name | Robert Brady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003820184 PECOS PAC ID: 5092764514 Enrollment ID: I20050121000293 |
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