Brody, Michael James
Brody, Michael James is an individual health care provider with primary practice located at N112W17975 Mequon Rd , Germantown WI 53022-2425. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Brody, Michael James can be contacted via phone (262) 532-7600.Contact Information
Primary practice address
N112W17975 Mequon Rd
Germantown WI 53022-2425
Phone: (262) 532-7600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 01073650A | Indiana |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 125-06285 | Illinois |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 01073650A | Indiana |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 64696 | Wisconsin |
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 64696 | Wisconsin |
Profile Details
NPI number | 1861624488 |
---|---|
LBN Legal business name | Brody, Michael James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 14th, 2009 |
Last updated | Jun 24th, 2022 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1861624488 | NPPES |
Indiana | MEDICAID | 201240950 | |
Indiana | MEDICAID | 100048706 |
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