DR. SHANNON ROSE BRADY MD
NPI 1093202533
Pediatrics - Pediatric Emergency Medicine in Salt Lake City, UT

Q: 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.

Q: What is Shannon Brady's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Brady was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 19, 2018PECOS Enrolled

81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113(801) 662-5701 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 24, 2022, Sep 16, 2019, Apr 19, 2018 (3 updates tracked since 2018).

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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

NPI1093202533

Entity TypeIndividualFemale

Primary Taxonomy2080P0204X

Provider Legal NameDR. SHANNON ROSE BRADYCredential: MD

Location Address81 N MARIO CAPECCHI DRSalt Lake City, UT 84113-1125

Mailing Address81 N Mario Capecchi DrSalt Lake City, UT 84113-1125 · (801) 662-5701

Phone(801) 662-5701

Sole ProprietorNo

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2018

Enumeration DateApril 19, 2018

Last NPPES UpdateMay 24, 20223 updates tracked since enumeration

NPPES CertifiedMay 24, 2022

✔ NPI 1093202533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0204X

License✔ Licensed in UT · 11393165-1205

Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.

Also ListedPediatricsTaxonomy 208000000X · License 11393165-1205 (UT)

81 N MARIO CAPECCHI DR, Salt Lake City, UT 84113

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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)

Dr. Shannon Rose Brady Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668805946

PECOS Enrollment IDI20260421000209

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.

DR. THOMAS PATRICK CURTIN M.D.

Anesthesiology

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-5700

MELISSA ANN WRIGHT MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 213-3599

UNIVERSITY OF UTAH PEDIATRIC SERVICES

Pediatrics (Pediatric Allergy/Immunology)

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 587-6336

LAURA R GARCIA GODOY MD

Hospitalist

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 581-7818

JESSICA NIELSEN FNP

Nurse Practitioner (Family)

81 N MARIO CAPECCHI DR
SLC, UT 84113

Salt Lake County (801) 587-2042

ANA MARIA PEREZ LCSW

Social Worker (Clinical)

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-3600

ADDISON DAY APRN

Nurse Practitioner (Family)

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-1000

ELIZABETH QIUFENG ANDERSON MD

Student in an Organized Health Care Education/Training Program

81 N MARIO CAPECCHI DR
SALT LAKE CITY, UT 84113

Salt Lake County (801) 662-5700

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.

When was this NPI record last updated?

The NPPES record for Shannon Brady was last updated on May 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.