Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MITCHELL BRADY DO
NPI 1356072789
Dermatology in Ponte Vedra Beach, FL

Active since June 17, 2022
166 A1A N STE 200, PONTE VEDRA BEACH, FL 32082(253) 226-2798 Get Directions Write a Review

NPPES record last updated: September 24, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 24, 2026, Jun 6, 2023 (2 updates tracked since 2023).

About Dr. Mitchell Brady Do NPPES

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

DR. MITCHELL BRADY DO (NPI 1356072789) is an individual dermatology provider in Ponte Vedra Beach, Florida, licensed in Florida (OS20596) and active in the NPI registry since June 2022. He maintains 4 additional practice locations.

NPPES Registry Identity

NPI1356072789
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. MITCHELL BRADYCredential: DO
Location Address166 A1A N STE 200Ponte Vedra Beach, FL 32082-5701
Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919 · (253) 226-2798
Sole ProprietorNo
Enumeration DateJune 17, 2022
Last NPPES UpdateSeptember 24, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2026
✔ NPI 1356072789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in FL · OS20596
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License OS20596 (FL)
166 A1A N STE 200, Ponte Vedra Beach, FL 32082

Secondary Practice Locations 4

Location 115536 W Colonial Dr Ste AWinter Garden, FL 34787-9571 · Phone (863) 547-6255
Location 27556 Cypress Gardens BlvdWinter Haven, FL 33884-3200 · Phone (863) 547-6255
Location 3171 Webb Dr Ste 1Davenport, FL 33837-3963 · Phone (863) 547-6255
Location 43109 Medical WaySebring, FL 33870-5548 · Phone (863) 547-6255

Other Providers at the Same Location NPPES

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

Dermatology
166 A1A N STE 200
PONTE VEDRA BEACH, FL 32082

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 Mitchell Brady's NPI number?

The NPI number for Mitchell Brady is 1356072789. It was assigned to this individual provider in the NPPES registry on June 17, 2022.

Where is Mitchell Brady located?

Mitchell Brady practices at 166 A1a N Ste 200, Ponte Vedra Beach, FL 32082. The listed phone number is (253) 226-2798.

What is Mitchell Brady's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Mitchell Brady was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.