Brody, Jeffrey M

Brody, Jeffrey M is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Brody, Jeffrey M can be contacted via phone (401) 444-5174.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-5174
Fax: (401) 453-8220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 154853 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD08159 Rhode Island

Profile Details

NPI number 1851380653
LBN Legal business name Brody, Jeffrey M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Mar 15th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851380653 NPPES
Other 007002783 HOSPITAL PIN
Other 240090 HOSPITAL PIN
Other 240166 HOSPITAL PIN
Other 720052301 HOSPITAL PIN
Other 003109685 HOSPITAL PIN
Other 7002783 HOSPITAL PIN
Other 004491 HOSPITAL PIN
Other 1600203 HOSPITAL PIN
Other 008159 HOSPITAL PIN
MEDICAID 3198243 HOSPITAL PIN
Other 000000001988 HOSPITAL PIN
Other 007056 HOSPITAL PIN
Other 3198243 HOSPITAL PIN
Other 8159 HOSPITAL PIN

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