JENNIFER BRADY
NPI 1154696532
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Jennifer Brady NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER BRADY (NPI 1154696532) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95017240) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jennifer Brady is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92161 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92161
SAN DIEGO, CA 92161
SAN DIEGO, CA 92161
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 Jennifer Brady's NPI number?
The NPI number for Jennifer Brady is 1154696532. It was assigned to this individual provider in the NPPES registry on March 19, 2012.
Where is Jennifer Brady located?
Jennifer Brady practices at 3350 La Jolla Village Dr, San Diego, CA 92161. The listed phone number is (760) 721-2171.
What is Jennifer Brady's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jennifer Brady enrolled in Medicare?
Yes. Jennifer Brady is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jennifer Brady was last updated on December 23, 2021. 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.
# Jennifer Brady · NPI 1154696532
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since March 19, 2012.
## Identity
- **NPI:** 1154696532 (Entity type: Individual)
- **Enumerated:** March 19, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 95017240 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3350 LA JOLLA VILLAGE DR, San Diego, CA 92161-5314
- **Phone:** (760) 721-2171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** December 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1154696532) · Data from the CMS NPPES public registry.