Active NPI
David S Brody, MD
- General Practice Physician
- St Johnsbury, VT
National Provider Identifier
1962654335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Brody, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.