Active NPI
David E. Brody, M.D.
- Child & Adolescent Psychiatry Physician
- Norwalk, CA
National Provider Identifier
1841591690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- CA28885
- Practice address
- 13200 South Bloomfield Ave
Norwalk, CA 90650 - Phone
- (562) 868-9979
- Fax
- (562) 929-2629
- NPI assigned
- Nov 10, 2010
- Last updated
- Nov 10, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | CAC28885 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | CA28885 | CA | Primary |
| Psychosomatic Medicine Physician | 2084P0015X | CA28885 | CA |
Addresses
Primary practice location
13200 South Bloomfield Ave
Norwalk, CA 90650
Mailing address
13200 South Bloomfield Ave
Norwalk, CA 90650
Phone (562) 868-9979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA28885 | CA | MD | Psychosomatic Medicine Physician |
| CAC28885 | CA | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1841591690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13200 SOUTH BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-868-9979",
"fax_number": "562-929-2629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13200 SOUTH BLOOMFIELD AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "90650",
"telephone_number": "562-868-9979",
"fax_number": "562-929-2629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODY",
"first_name": "DAVID",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "CAC28885",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "CA28885",
"primary": true
},
{
"code": "2084P0015X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychosomatic Medicine",
"state": "CA",
"license": "CA28885",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norwalk, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.