NPIMap

Organization Active NPI

Robert Brody MD Co

  • Dermatology Physician
  • Shaker Heights, OH
National Provider Identifier
1144737560
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35-03-9344 Issued in OH
Legal business name
ROBERT BRODY MD CO
Practice address
3461 Warrensville Center Rd Ste 101
Shaker Heights, OH 44122-5227
Phone
(216) 752-2480
Fax
(216) 752-2980
NPI assigned
Jan 8, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Robert Brody, MDNPI 1063508554
Title
Owner
Phone
(216) 752-2480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35-03-9344 OH Primary

Addresses

Primary practice location

3461 Warrensville Center Rd Ste 101
Shaker Heights, OH 44122-5227

Mailing address

3461 Warrensville Center Rd Ste 101
Shaker Heights, OH 44122-5227
Phone (216) 752-2480

Other practice location 1

12000 McCracken Rd Ste 111
Garfield Heights, OH 44125-2933
Phone (216) 752-2480

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1144737560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 101",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-752-2480",
            "fax_number": "216-752-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3461 WARRENSVILLE CENTER RD STE 101",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225227",
            "telephone_number": "216-752-2480",
            "fax_number": "216-752-2980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12000 McCracken Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Garfield Heights",
            "state": "OH",
            "postal_code": "441252933",
            "country_code": "US",
            "telephone_number": "216-752-2480",
            "fax_number": "216-752-2980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROBERT BRODY MD CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-752-2480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35-03-9344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.