NPI 1922486695 · live from the CMS NPI Registry
Mary Brady, M.D.
Dermatology, MOHS-Micrographic Surgery in Lakewood, CO. National Provider Identifier 1922486695, active.
NPI record
| NPI | 1922486695 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology, MOHS-Micrographic Surgery 207ND0101X |
| Practice location | 3455 S Yarrow St, Lakewood, CO 80227 |
| Practice phone | 303-989-5231 |
| Enumerated | May 13, 2015 |
| Last updated | December 15, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology, Procedural Dermatology | 207NS0135X | 35.136073 (OH) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Dermatology | 207N00000X | MD470851 (PA) |
| Dermatology, MOHS-Micrographic Surgery primary | 207ND0101X | DR.0071805 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.