Roy David Brod, MD

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

MD039715L Issued in PA

Practice address

2150 Harrisburg Pike Ste 370
Lancaster, PA 17601-2644

Phone

(717) 399-8790

Fax

(717) 399-3279

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Temple University School of Medicine, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lancaster Retina Specialists PCGroup PAC ID 2466679634, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Lancaster Retina Specialists PC

  • Ophthalmology Physician
  • Lancaster, PA
  • NPI 1558785725
  Medicare reassignment Care Compare group NPD Authorized official
• The Physicians' Surgery Center Lancaster General, LLC

  dba Physicians' Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Lancaster, PA
  • NPI 1750592531
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235174483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE STE 370",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-399-8790",
            "fax_number": "717-399-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 HARRISBURG PIKE STE 370",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176012644",
            "telephone_number": "717-399-8790",
            "fax_number": "717-399-3279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROD",
        "first_name": "ROY",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "PA",
            "license": "MD039715L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001134072",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley E. Broberg, LCSW
• Joy Diana Brobst, LCSW
• Nolah Brockington, LPN
• Bruce A Brod, M.D.
• Kate Margaret Brod, DO
• Hanna Bromley, LPN
• Charles D Brooks III, CRNP
• Kenneth E Brooks, RNC
• Lauren Karp Brooks, MD
• Nancy Brooks, PSYD

• Retina Specialist (Ophthalmology) Physician in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Retina Specialist (Ophthalmology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.