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GORDON S BRODY MD NPI 1992791826


NPI Information

NPI: 1992791826
Provider Name: GORDON S BRODY, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
811 W INTERSTATE 20
SUITE G22
ARLINGTON, TX
ZIP 76017
Phone: (817) 784-8268
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Gordon S Brody, MD is an urology in Arlington, TX. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Gordon S Brody, MD NPI is 1992791826. 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:

811 W INTERSTATE 20
SUITE G22
ARLINGTON, TX
ZIP 76017-870
Phone: (817) 784-8268
Fax: (817) 276-1861

The enumeration date for this NPI number is 9/26/2005 and was last updated on 5/23/2016.


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
1208800000XUrologyE7839TEXASYes

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
1122740705MEDICAIDTEXAS
2122740704MEDICAIDTEXAS
383Z790MEDICARE PINTEXAS
48L23918MEDICARE PINTEXAS
5122740706OTHERTEXASMEDICAID OTHER
6C13789MEDICARE UPINTEXAS
7122740707MEDICAIDTEXAS
88K6635MEDICARE PINTEXAS
9122740703MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.