Organization Active NPI

Kirk Brody, M.D.P.C.

  • Obstetrics & Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1750715975
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000029154 Issued in TN
Legal business name
KIRK BRODY, M.D.P.C.
Practice address
2341 McCallie Ave
Suite 400
Chattanooga, TN 37404-3239
Phone
(423) 602-9674
Fax
(423) 602-9690
NPI assigned
Aug 23, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Dr. Kirk W Brody, M.D.NPI 1497720759
Title
Owner/MD
Phone
(423) 602-9674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD0000029154 TN Primary

Addresses

Primary practice location

2341 McCallie Ave
Suite 400
Chattanooga, TN 37404-3239

Mailing address

2341 McCallie Ave
Suite 400
Chattanooga, TN 37404-3239
Phone (423) 602-9674

National Provider Directory

National Provider Directory

Locations

2158 Northgate Park Ln
Ste 230
Chattanooga, TN 37415
Phone (423) 602-9674

2341 McCallie Ave
Ste 400
Chattanooga, TN 37404
Phone (423) 493-9151

1511 Main St
Kimball, TN 37347
Phone (423) 837-6000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1750715975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 MCCALLIE AVE",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "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",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374043239",
            "telephone_number": "423-602-9674",
            "fax_number": "423-602-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK BRODY, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "423-602-9674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "MD0000029154",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2013; 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.