Brody, Michael Jay

Brody, Michael Jay is an individual health care provider with primary practice located at 115 Kildaire Park Dr Ste 201 , Cary NC 27518-8144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Brody, Michael Jay can be contacted via phone (919) 816-4948.

Contact Information

Primary practice address
115 Kildaire Park Dr Ste 201 Cary NC 27518-8144
Fax: (919) 233-7685
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 9800477 North Carolina

Profile Details

NPI number 1407948110
LBN Legal business name Brody, Michael Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Apr 13th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407948110 NPPES
North Carolina MEDICAID 8911680

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