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

Dr. Shannon Rose Brady, MD

Individual provider Pediatrics Physician · NPI 1093202533

Dr. Shannon Rose Brady, MD is a Pediatric Medicine in Salt Lake City, Utah. Graduated from University of Vermont College of Medicine in 2018, 8 years ago. Licensed in Utah.

Years since qualifying
8
Trained at
University of Vermont College of Medicine
Licensed in
UT
In the registry since
2018
Specialties on file
2
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

81 N Mario Capecchi Dr
Salt Lake City, UT 84113-1125
Phone: (801) 662-5701
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 11393165-1205 (UT)
Pediatrics Physician Taxonomy 208000000X · Licence 11393165-1205 (UT)

Record details

NPI number1093202533
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESMay 24, 2022
Certification dateMay 24, 2022

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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