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MARK ROBERT BRODY M.D. NPI 1215031661


NPI Information

NPI: 1215031661
Provider Name: MARK ROBERT BRODY, M.D.
Classification: Preventive Medicine - 2083P0901X
Entity Type: Individual

Specialization: Public Health & General Preventive Medicine

Address:
295 ANGELL ST
PROVIDENCE, RI
ZIP 02906
Phone: (401) 861-4643
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Mark Robert Brody, M.D. is a public health and general preventive medicine preventive medicine in Providence, RI. The provider is public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. Mark Robert Brody, M.D. NPI is 1215031661. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

295 ANGELL ST
PROVIDENCE, RI
ZIP 02906-119
Phone: (401) 861-4643

The enumeration date for this NPI number is 9/7/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12083P0901XPreventive MedicinePublic Health & General Preventive Medicine08028RHODE ISLANDYes
22084P0800XPsychiatry & NeurologyPsychiatry08028RHODE ISLANDX
32084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry08028RHODE ISLANDX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F08236MEDICARE UPINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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