Scott P. Brody, M.D., PA

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME69231 Issued in FL

Legal business name

SCOTT P. BRODY, M.D., PA

Practice address

11798 San Jose Blvd
Suite 1
Jacksonville, FL 32223-1836

Phone

(904) 260-9808

Fax

(904) 260-2770

NPI assigned

May 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Scott Philip Brody, M.D.

Title

Owner

Phone

(904) 260-9808

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1568780302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11798 SAN JOSE BLVD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231836",
            "telephone_number": "904-260-9808",
            "fax_number": "904-260-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11798 SAN JOSE BLVD",
            "address_2": "SUITE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322231836",
            "telephone_number": "904-260-9808",
            "fax_number": "904-260-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT P. BRODY, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-260-9808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME69231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "27848",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378841500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00395604",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Scott W Rice MD PA
• Adeline Rose Scott, PT, DPT
• Anna Elizabeth Scott
• Chanel Scott, APRN
• Chloe Rae Scott, RBT

• Obstetrics & Gynecology Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.