BREANNA BRADY CAA
NPI 1902777261
Anesthesiologist Assistant in Jacksonville, FL

Q: What is Breanna Brady's NPI number?

The NPI number for Breanna Brady is 1902777261. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Breanna Brady's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Breanna Brady was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 September 17, 2025Accepts Medicare Assignment

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 999-2801 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Breanna Brady Caa NPPES

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

BREANNA BRADY CAA (NPI 1902777261) is an individual anesthesiologist assistant in Jacksonville, Florida, licensed in Florida (AA1119) and active in the NPI registry since September 2025. She is affiliated with Baptist Health Medical Center - Jacksonville and is a graduate of Other (2025).

NPPES Registry Identity

NPI1902777261

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameBREANNA BRADYCredential: CAA

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202

Mailing Address2162 Arden Forest PlFleming Island, FL 32003-2308

Phone(904) 999-2801

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 17, 2025

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1902777261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA1119

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

800 PRUDENTIAL DR, Jacksonville, FL 32207

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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 and accepts Medicare assignment

Breanna Brady Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214424340

PECOS Enrollment IDI20251014000978

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

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.

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