Individual provider Active NPI

Kirk Warren Brody, M.D.

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1497720759
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29154 Issued in TN
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

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
29154OtherTNTN 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.