Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41711 | CO |
N | 111NI0900X | Internist | 41711 | CO |
Y | 207RC0200X | Critical Care Medicine | 41711 | CO |
NPI | 1083686307 |
---|---|
Provider Name | Charlene E. Brady |
First Address | Denver, CO 80206-2761 |
Second Address | Englewood, CO 80113-2780 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2006 |
Last Update Date | 18/02/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
41027531 | (05) | CO |
H77954 | (02) | CO |