KEVIN BRADY DPM
NPI 1104815927
Podiatrist - Foot & Ankle Surgery in Wilmington, NC

Q: What is Kevin Brady's NPI number?

The NPI number for Kevin Brady is 1104815927. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Q: What is Kevin Brady's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Brady was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 14, 2005PECOS Enrolled

1705 GARDNER DR, WILMINGTON, NC 28405(910) 343-5300(910) 254-4680 Get Directions Write a Review

NPPES record last updated: August 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kevin Brady Dpm NPPES

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

KEVIN BRADY DPM (NPI 1104815927) is an individual foot & ankle surgery provider in Wilmington, North Carolina, licensed in Florida (PO02717) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hollywood.

NPPES Registry Identity

NPI1104815927

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameKEVIN BRADYCredential: DPM

Location Address1705 GARDNER DRWilmington, NC 28405

Mailing Address1705 Gardner DrWilmington, NC 28405-8873 · (910) 343-5300 · Fax (910) 254-4680

Phone(910) 343-5300

Fax(910) 254-4680

Sole ProprietorNo

Enumeration DateOctober 14, 2005

Last NPPES UpdateAugust 1, 2019

✔ NPI 1104815927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in FL · PO02717

1705 GARDNER DR, Wilmington, NC 28405

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Secondary Practice Location 1

Location 12525 Embassy Dr, Suite 4Hollywood, FL 33026-4573 · Phone (954) 434-9877 · Fax (954) 434-9881

Other Identifiers 1

Medicaid390434200FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Brady Dpm 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.

DR. JOICEANN COMPTON FUCHS MD

Family Medicine