Organization Active NPI

David S Brody, MD

  • General Practice Physician
  • St Johnsbury, VT
National Provider Identifier
1962654335
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DAVID S BRODY, MD
Practice address
1290 Hospital Dr
Suite 2
St Johnsbury, VT 05819-9205
Phone
(802) 748-2123
NPI assigned
Oct 16, 2008
Last updated
Oct 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
David Brody, M.D.NPI 1376529115
Title
Owner
Phone
(802) 748-2123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

1290 Hospital Dr
Suite 2
St Johnsbury, VT 05819-9205

Mailing address

1290 Hospital Dr
Suite 2
St Johnsbury, VT 05819-9205
Phone (802) 748-2123

National Provider Directory

National Provider Directory

Locations

1290 Hospital Dr
Ste 2
St Johnsbury, VT 05819
Phone (802) 748-2123

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1962654335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199205",
            "telephone_number": "802-748-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1290 HOSPITAL DR",
            "address_2": "SUITE 2",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058199205",
            "telephone_number": "802-748-2123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S BRODY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "802-748-2123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johnsbury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; 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.