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JETTA JEAN BRADY DO
NPI 1063350049
Student in an Organized Health Care Education/Training Program in Bradenton, FL

Active since March 23, 2026PECOS Enrolled
2020 59TH ST W, BRADENTON, FL 34209(941) 792-6611 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jetta Jean Brady Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JETTA JEAN BRADY DO (NPI 1063350049) is an individual student in an organized health care education/training program in Bradenton, Florida and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063350049
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJETTA JEAN BRADYCredential: DO
Location Address2020 59TH ST WBradenton, FL 34209-4604
Mailing Address2020 59th St WBradenton, FL 34209-4604 · (941) 792-6611
Phone(941) 792-6611
Sole ProprietorYes
Enumeration DateMarch 23, 2026
NPPES CertifiedMarch 23, 2026
✔ NPI 1063350049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2020 59TH ST W, Bradenton, FL 34209
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jetta Jean Brady Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANGUARD EMERGENCY PHYSICIANS, LLC
Emergency Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (469) 401-2386
DR. ISHPAUL BHAMBER DO
Internal Medicine
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
CONNOR JOSEPH BREIDENBACH DO
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 792-6611
BRYAN NAJJAR PA
Hospitalist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (706) 863-9595
NANCY GIBBS
Occupational Therapist
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6557
JEREMY HEAD
Radiology (Diagnostic Radiology)
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 798-6513
AHMAD GHAFOOR MD
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581
AMMALIE BITTAR
Student in an Organized Health Care Education/Training Program
2020 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 567-2581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jetta Brady's NPI number?

The NPI number for Jetta Brady is 1063350049. It was assigned to this individual provider in the NPPES registry on March 23, 2026.

Where is Jetta Brady located?

Jetta Brady practices at 2020 59th St W, Bradenton, FL 34209. The listed phone number is (941) 792-6611.

What is Jetta Brady's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jetta Brady enrolled in Medicare?

Yes. Jetta Brady is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jetta Brady was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.