Individual provider Active NPI

Seth Charles Brody, M.D.

  • Obstetrics & Gynecology Physician
  • Raleigh, NC
National Provider Identifier
1629088653
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0096-00465 Issued in NC
Practice address
3024 New Bern Ave
Suite 306 - OB/GYN
Raleigh, NC 27610-1247
Phone
(919) 350-8535
Fax
(919) 350-8310
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0096-00465 NC Primary

Addresses

Primary practice location

3024 New Bern Ave
Suite 306 - OB/GYN
Raleigh, NC 27610-1247

Mailing address

3024 New Bern Ave
Suite 300
Raleigh, NC 27610-1247
Phone (919) 350-8228

Other identifiers 1

IdentifierTypeStateIssuer
8918449MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20090624000516 NC Practitioner - Obstetrics/Gynecology 1153472527 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0096-00465NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group, LLC Obstetrics & Gynecology Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Faculty Practice Plan Obstetrics & Gynecology Past Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

204 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

6102 Grace Park Dr
Morrisville, NC 27560
Phone (919) 235-6405

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3024 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 350-8535

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

3024 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-5318

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228

10010 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1380

1030 Siena Dr
Wake Forest, NC 27587
Phone (919) 235-6511

Interoperability endpoints

  • Direct secure messaging: sbrody7165@directhisp.wakemed.org

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wakemed Raleigh CampusRaleigh, NC, CCN 340069 Hospital Corporate Officer
W-2 Managing Employee
Jul 2, 2015
Jul 2, 2015
Wakemed Cary HospitalCary, NC, CCN 340173 Hospital Corporate Officer
W-2 Managing Employee
Jul 2, 2015
Jul 2, 2015
Wakemed Mental Health & Well-Being Hospital -WakebrookRaleigh, NC, CCN 34S069 Hospital Corporate Officer Jul 2, 2015
Wakemed Home HealthRaleigh, NC, CCN 347179 Home health agency Corporate Officer
W-2 Managing Employee
Jul 2, 2015
Jul 2, 2015

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629088653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE",
            "address_2": "SUITE 300",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-8228",
            "fax_number": "919-350-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 NEW BERN AVE",
            "address_2": "SUITE 306 - OB/GYN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101247",
            "telephone_number": "919-350-8535",
            "fax_number": "919-350-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "SETH",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "0096-00465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8918449",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.