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

Mr. Tucker Lee Brady, FNP

Individual provider Family Nurse Practitioner · NPI 1679107692

Mr. Tucker Lee Brady, FNP is a Nurse Practitioner in Brookhaven, Mississippi. Qualified in 2019, 7 years ago. Practices with Kdmc Physician Clinics LLC, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
7
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

601 Brookman Dr Ext
Brookhaven, MS 39601-2371
Phone: (601) 823-5275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 427 Highway 51 N, Brookhaven, MS 39601-2350 — (601) 833-6011

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 903771 (MS)

Record details

NPI number1679107692
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedFebruary 28, 2020
Last updated in NPPESJanuary 9, 2025
Certification dateJanuary 9, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kdmc Physician Clinics Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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