Jason Robert Brody, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C07253 Issued in MD

Practice address

1576 Merritt Blvd Ste 8
Dundalk, MD 21222-2114

Phone

(443) 530-6533

NPI assigned

Oct 10, 2018

Last updated

Oct 30, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

• Together We Can Mental Health Services

  • Psychiatric/Mental Health Nurse Practitioner
  • Westminster, MD
  • NPI 1144804915
  Medicare reassignment

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667088000000",
    "number": "1356816839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1576 MERRITT BLVD STE 8",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222114",
            "telephone_number": "443-530-6533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 Bedford Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212086605",
            "country_code": "US",
            "telephone_number": "410-602-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRODY",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2022-10-30",
        "certification_date": "2022-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Blackwell, LCPC
• Marcia A Blotzer, RN
• Rebekah Bon
• Marie Bourke
• Nicholas Steven Bower, D.O.
• Galen Brooks, MD
• Julius Byrd, DC
• Capital Care Anesthesia LLC
• Caring Hands Adult Day Care of Dundalk, Inc
• Khajuanna Carithers

• Physician Assistant in Dundalk, MD
• Providers in Dundalk, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.