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BRADY NICOSIA DO
NPI 1689506669
Student in an Organized Health Care Education/Training Program in Philadelphia, PA

Active since June 02, 2026
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-5161 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Brady Nicosia Do NPPES

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

BRADY NICOSIA DO (NPI 1689506669) is an individual student in an organized health care education/training program in Philadelphia, Pennsylvania, licensed in Pennsylvania (OT025422) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1689506669
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRADY NICOSIACredential: DO
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-5161
Phone(215) 612-5161
Sole ProprietorNo
Enumeration DateJune 2, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1689506669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in PA · OT025422
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

10800 KNIGHTS RD, Philadelphia, PA 19114
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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.

JESSICA JERRARD DO
Anesthesiology
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
24 ON PHYSICIANS PC
Hospitalist
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (770) 740-0895
WILLIAM JOSEPH VONHOFEN CRNA
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4132
DR. MATTHEW JOHN FALLSTICK D.O.
Internal Medicine
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (187) 780-8274
ANNA DYMARSKY D.O.
Emergency Medicine
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
MRS. BHAVIKA V PATEL PA-C
Physician Assistant (Medical)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
DR. GINA MARIE MOFFA D.O.
Emergency Medicine
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-4000
QUENTIN PARKER DO
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Philadelphia County (215) 612-5161

Frequently Asked Questions

What is Brady Nicosia's NPI number?

The NPI number assigned to this healthcare provider is 1689506669, enumerated as an "individual" on June 02, 2026.

Where is the provider located?

The provider is located at 10800 KNIGHTS RD PHILADELPHIA, PA 19114 and the phone number is (215) 612-5161.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.