Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL BRADY, PA-C
Active Sole ProprietorSAMUEL BRADY, PA-C is a Physician Assistant healthcare provider located in FORT COLLINS, Colorado. NPI 1174156699 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · FORT COLLINS, CO
Registration Details
- NPI Number
- 1174156699
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2020 (6.4993047181922 yrs)
- Last Updated
- Oct 22, 2025
- Licenses
-
PA1252 (WY)PA.0008149 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2121 E HARMONY RD UNIT 360FORT COLLINS, CO, 805283404Browse CO providers · Browse ZIP 80528
- Phone
- 9702679799
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in FORT COLLINS, CO
| Name | Credential | NPI |
|---|---|---|
| DENNIS P. BRANT | — | 1487659181 |
| DAWN EETEN | P.A.-C | 1134116874 |
| ANDREA J BIEGANSKI | P.A. | 1801883525 |
| TROY W WOLF | PA C | 1447233721 |
| TRICIA L SMIKAHL | PA | 1386627560 |
| KARA LEAH DITULLIO | PA C | 1063495042 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.