Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Brady, MD

Individual provider Emergency Medicine Physician · NPI 1265660294

Dr. Mark Brady, MD is an Emergency Medicine in Providence, Rhode Island. Graduated from Warren Alpert Medical School of Brown University in 2009, 17 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Connecticut and Rhode Island.

Years since qualifying
17
Trained at
Warren Alpert Medical School of Brown University
Licensed in
CT, RI
In the registry since
2009
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

593 Eddy St Claverick 2
Providence, RI 02903-0290
Phone: (014) 444-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD17161 (RI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 050700 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265660294
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2009
Last updated in NPPESOctober 6, 2020
Certification dateOctober 5, 2020
Mailing address125 Whipple St Ste 3, Providence, RI 02908-3258

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolWARREN ALPERT MEDICAL SCHOOL OF BROWN UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence