Michael Brody, M.D.

Primary specialty

Prescribing (Medical) PsychologistTaxonomy code 103TP0016X

License

D0007288 Issued in MD

Practice address

10412 Crossing Creek Rd
Potomac, MD 20854-4201

Phone

(301) 299-8969

Fax

(301) 299-8962

NPI assigned

Jun 20, 2008

Last updated

Jun 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Psychiatric Center Chartered,Inc

  • Psychiatry Physician
  • Washington, DC
  • NPI 1831265131
  NPD (past)

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213920000000",
    "number": "1457512543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10412 CROSSING CREEK RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544201",
            "telephone_number": "301-299-8969",
            "fax_number": "301-299-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10412 CROSSING CREEK RD",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544201",
            "telephone_number": "301-299-8969",
            "fax_number": "301-299-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MD",
            "license": "D0007288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridging Journeys Counseling and Billing Center, LLC
• Sabina Broadhead, LAC
• Amy Melissa Brodsky, OT
• Alex Brodt, LCSW-C
• Alan Brody, M.D.
• Michelle Hamilton Bronzo, LCPC, LPC, LMHC, CT
• Katherine Alexandra Brown, MS, RD
• Verity Brown, LCSW
• Bruce P. Pfeffer, M.D., P.a.
• Pepper Deckert Buckley, PH.D.

• Prescribing (Medical) Psychologist in Potomac, MD
• Providers in Potomac, MD by specialty
• Prescribing (Medical) Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.