DR. SHANNON ROSE BRADY MD
NPI 1093202533
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT
About Dr. Shannon Rose Brady Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON ROSE BRADY MD (NPI 1093202533) is an individual pediatric emergency medicine provider in Salt Lake City, Utah, licensed in Utah (11393165-1205) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2018).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shannon Rose Brady Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Brady reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salt Lake City, UT 84113
- Reassigned Medicare billing, Utah enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
SALT LAKE CITY, UT 84113
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 Shannon Brady's NPI number?
The NPI number for Shannon Brady is 1093202533. It was assigned to this individual provider in the NPPES registry on April 19, 2018.
Where is Shannon Brady located?
Shannon Brady practices at 81 N Mario Capecchi Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-5701.
What is Shannon Brady's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.
Is Shannon Brady enrolled in Medicare?
Yes. Shannon Brady is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Brady's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Brady reassigns Medicare benefits to University Of Utah Pediatric Acuity Care (Salt Lake City, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Brady's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannon Brady was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Dr. Shannon Rose Brady, MD · NPI 1093202533
Pediatric Emergency Medicine physician in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since April 19, 2018.
## Identity
- **NPI:** 1093202533 (Entity type: Individual)
- **Enumerated:** April 19, 2018
- **Primary specialty:** Pediatrics - Pediatric Emergency Medicine · taxonomy 2080P0204X
- **State license:** 11393165-1205 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113-1125
- **Phone:** (801) 662-5701
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Utah Pediatric Acuity Care (NPI 1538523675, Salt Lake City, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Vermont College Of Medicine, class of 2018
## Record status
- **NPPES last updated:** May 24, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1093202533) · Data from the CMS NPPES public registry.