Individual provider Active NPI

Richard H Brody, M.D.

  • Occupational Medicine Physician
  • E Longmeadow, MA
National Provider Identifier
1104863844
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
60568 Issued in MA
Practice address
200 N Main St
South Building, Ste 4, Unit 5
E Longmeadow, MA 01028
Phone
(413) 348-8007
Fax
(413) 634-1751
NPI assigned
Jun 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 60568 MA Primary

Addresses

Primary practice location

200 N Main St
South Building, Ste 4, Unit 5
E Longmeadow, MA 01028

Mailing address

200 N Main St
Ste 5
East Longmeadow, MA 01028-2392
Phone (413) 525-6003

Other practice location 1

200 N Main St
Suite #5 Occu-Health
E Longmeadow, MA 01028-2392
Phone (413) 525-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140723000017 MA Practitioner - Internal MedicinePractitioner - Preventive Medicine 5799901096 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Parent Co Inc CurrentSince Jun 6, 2016 Accepting new patients
Richard H. Brody, MD, LLC CurrentSince Feb 9, 2025 Accepting new patients

Locations

200 N Main St
Ste 5
East Longmeadow, MA 01028
Phone (413) 525-6003

200 N Main St
Ste 4
East Longmeadow, MA 01028
Phone (413) 252-9810

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1104863844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "STE 5",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010282392",
            "telephone_number": "413-525-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST",
            "address_2": "SOUTH BUILDING, STE 4, UNIT 5",
            "city": "E LONGMEADOW",
            "state": "MA",
            "postal_code": "01028",
            "telephone_number": "413-348-8007",
            "fax_number": "413-634-1751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 N Main St",
            "address_2": "Suite #5 Occu-Health",
            "address_purpose": "LOCATION",
            "city": "E Longmeadow",
            "state": "MA",
            "postal_code": "010282392",
            "country_code": "US",
            "telephone_number": "413-525-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODY",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "MA",
            "license": "60568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in E Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.