Active NPI
Kirk Warren Brody, M.D.
- Obstetrics & Gynecology Physician
- Chattanooga, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 29154
- Practice address
- 2341 McCallie Ave Plaza 3
Suite 403
Chattanooga, TN 37404-3239 - Phone
- (423) 602-9764
- Fax
- (423) 602-9690
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 29154 | TN | Primary |
Addresses
Primary practice location
2341 McCallie Ave Plaza 3
Suite 403
Chattanooga, TN 37404-3239
Mailing address
2341 McCallie Ave Ste 403
Chattanooga, TN 37404-3227
Phone (423) 602-9674
Other practice location 1
2341 McCallie Ave Ste 403
Chattanooga, TN 37404-3227
Phone (423) 602-9674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29154 | Other | TN | TN MEDICAL LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240118001111 | FL | Practitioner - Obstetrics/Gynecology | 2769429802 | Practice locations: Clearwater, FL; Gainesville, FL; Jacksonville, FL; Lakeland, FL; Sarasota, FL; St Petersburg, FL; Tampa, FL; Altamonte Springs, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Women'S Health Center of Gainesville, Inc. | Current | Accepting new patients | |
| OB-GYN Centre of Excellence PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Ft. Myers Women'S Health Center, Inc. | Past | Accepting new patients | |
| All Women'S Health Center of Sarasota, Inc. | Past | Accepting new patients |
Locations
2106 Drew St
Ste 103
Clearwater, FL 33765
Phone (727) 442-0445
1135 NW 23rd Ave
Ste N
Gainesville, FL 32609
Phone (352) 378-9191
2341 McCallie Ave
Ste 302
Chattanooga, TN 37404
Phone (423) 629-9743
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Chattanooga, TN
- NPI 1699796169
-
- Gynecology Physician
- Gainesville, FL
- NPI 1831347293
-
- Gynecology Physician
- Sarasota, FL
- NPI 1831346311
-
- Gynecology Physician
- Fort Myers, FL
- NPI 1588812945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548806400000",
"number": "1497720759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE STE 403",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043227",
"telephone_number": "423-602-9674",
"fax_number": "423-602-9690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2341 MCCALLIE AVE PLAZA 3",
"address_2": "SUITE 403",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374043239",
"telephone_number": "423-602-9764",
"fax_number": "423-602-9690"
}
],
"practiceLocations": [
{
"address_1": "2341 McCallie Ave Ste 403",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374043227",
"country_code": "US",
"telephone_number": "423-602-9674",
"fax_number": "423-602-9690",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRODY",
"first_name": "KIRK",
"middle_name": "WARREN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2019-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "29154",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TN MEDICAL LICENSE #",
"identifier": "29154",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.