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Deactivated NPI 1801888474 Deactivated / Inactive NPI Male Practitioner

Dr. John William Brady , MD

Dermatology • Manassas, VA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Brady has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2005
NPI Deactivation Date June 04, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. John Brady, MD was a registered Dermatology practicing in Manassas, VA. Throughout an active medical career spanning 21 years, Dr. Brady provided care at the practice location at 8650 SUDLEY ROAD until profile deactivation on 2026-06-04.

Historical Medicare Part B clinical services included destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

8650 Sudley Road
Suite 310

Manassas, VA 201104416

Telephone 7033693376
Fax 7033691118
Associated Practice Facility / Clinic
🏢 Eugene J Louieng, Md, Pc Facility NPI 1780785451

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 23.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Manassas, VA (440 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
75 28 $11.00 $6.06
99213 Established patient office or other outpatient visit, typically 15 minutes
72 71 $98.00 $75.04
17000 Destruction of skin growth
47 46 $111.00 $55.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
26 25 $59.00 $45.39
11102 Tangential biopsy of single skin lesion
21 21 $90.00 $85.38
17110 Destruction of up to 14 skin growths
15 15 $153.00 $112.78

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License VA 0101019666

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1205868338

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2026

Record deactivated on June 04, 2026

NPI Profile Active October 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 29, 2008

Registered at 8650 SUDLEY ROAD, SUITE 310, MANASSAS, VA 201104416 (Tel: 7033693376)

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Updated Business Mailing Address October 29, 2008

Registered at 8650 SUDLEY ROAD, SUITE 310, MANASSAS, VA 201104416 (Tel: 7033693376)

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Provider Name / Credentials Updated October 29, 2008

Recorded as JOHN BRADY, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2008

Dermatology (License #0101019666 in VA)

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Initial NPI Registration & Enumeration August 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801888474
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2005
Last Update: October 29, 2008
Deactivation Date: June 04, 2026

Mailing Address

8650 Sudley Road, Suite 310

Manassas, VA 201104416

Phone: 7033693376

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.