Dr. Burns Mack Brady
Family Doctor - Addiction Medicine
1017 W. Market St.
Louisville
, Kentucky 40202
Dr. Burns Mack Brady
Family Doctor - Addiction Medicine
1017 W. Market St.
Louisville
, Kentucky 40202
(502) 290-4875
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Burns Mack Brady
- 3723 Hillsdale Rd
- Louisville, KY
- Zip : 40222-5913
- Fax : (502) 290-4875
- Phone : (502) 396-6868
Second Address
- Dr. Burns Mack Brady
- 1017 W. Market St.
- Louisville, KY
- Zip : 40202
- Fax : (502) 290-4875
- Phone : (502) 396-6868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 14063 | KY |
National Provider Identifier
| NPI | 1629317391 |
|---|---|
| Provider Name | Dr. Burns Mack Brady |
| First Address | Louisville, KY 40222-5913 |
| Second Address | Louisville, KY 40202 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2013 |
| Last Update Date | 31/01/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.