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Dr. Jacob Sullivan Brady, MD

Otolaryngology in Little Rock, AR. Individual provider (NPI-1).

NPI number1659875425
StatusActive
Last updated in NPPESAug 21, 2025

Details

NPI
1659875425
Entity type
Individual (NPI-1)
Name
Dr. Jacob Sullivan Brady
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 19, 2018
Certification date
Aug 21, 2025
Last updated
Aug 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X OtolaryngologyE-19212ARYes

Practice location

8901 Carti Way
Little Rock, AR 72205-6523

Phone 501-906-3000

Mailing address

Po Box 55050
Little Rock, AR 72215-5050

Phone 501-906-3000 · Fax 501-907-8367

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