Active NPI
Paul J. Brody, D.P.M.
- Podiatrist
- Culver City, CA
National Provider Identifier
1376578351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2963
- Practice address
- 3831 Hughes Ave Ste 700
Culver City, CA 90232 - Phone
- (310) 837-3668
- Fax
- (310) 837-3015
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 2031 | NV | |
| Foot Surgery Podiatrist | 213ES0131X | E2963 | CA | |
| Podiatrist | 213E00000X | E2963 | CA | Primary |
Addresses
Primary practice location
3831 Hughes Ave Ste 700
Culver City, CA 90232
Mailing address
3831 Hughes Ave Ste 700
Culver City, CA 90232-2751
Phone (310) 837-3668
Other practice location 1
9080 W Post Rd
Las Vegas, NV 89148-2419
Phone (702) 620-3103
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2963 | Other | CA | STATE LICENSE NUMBER |
| 2031 | Other | NV | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2031 | NV | MD | Acupuncturist |
| E2963 | CA | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531785600000",
"number": "1376578351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE STE 700",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-837-3668",
"fax_number": "310-837-3015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE STE 700",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90232",
"telephone_number": "310-837-3668",
"fax_number": "310-837-3015"
}
],
"practiceLocations": [
{
"address_1": "9080 W Post Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891482419",
"country_code": "US",
"telephone_number": "702-620-3103",
"fax_number": "310-837-3015",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODY",
"first_name": "PAUL",
"middle_name": "J.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2018-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "NV",
"license": "2031",
"primary": false
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CA",
"license": "E2963",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "E2963",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "2031",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.