Brody, Jennifer Diane

Brody, Jennifer Diane is an individual health care provider with primary practice located at 1139 E Sonterra Blvd Suite 300, San Antonio TX 78258-4347. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Brody, Jennifer Diane can be contacted via phone (210) 499-0770.

Contact Information

Primary practice address
1139 E Sonterra Blvd Suite 300 San Antonio TX 78258-4347
Phone: (210) 499-0770
Fax: (210) 499-0750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X M1536 Texas
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X M1536 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X M1536 Texas

Profile Details

NPI number 1609862127
LBN Legal business name Brody, Jennifer Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Feb 1st, 2015 - about 9 years 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 1609862127 NPPES
Texas MEDICAID 1995102-02

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