Gordon S Brody, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

E7839 Issued in TX

Practice address

811 W Interstate 20
Suite G22
Arlington, TX 76017-5870

Phone

(817) 784-8268

Fax

(817) 276-1861

NPI assigned

Sep 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Urology Associates of North Texas LLP

  • Urology Physician
  • Weatherford, TX
  • NPI 1407849961
  NPD (past)
• Usmd Diagnostic Services, LLC

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1366977449
  NPD (past)

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1992791826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20",
            "address_2": "SUITE G22",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175870",
            "telephone_number": "817-784-8268",
            "fax_number": "817-276-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20",
            "address_2": "SUITE G22",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175870",
            "telephone_number": "817-784-8268",
            "fax_number": "817-276-1861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODY",
        "first_name": "GORDON",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "E7839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122740707",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122740704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122740705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122740703",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID OTHER",
            "identifier": "122740706",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marco Britton, MD, MPH
• Brian Joseph Broadbent, DPT, PT
• Steven Brock, M.D.
• Melinda G Brockman, MSN, RN, ACNP
• Victoria Allison Brockman
• Russell Joseph Brofer, D.O.
• Brookeside Health LLC
• Brookfields Behavioral Health Services LLC
• Brookhaven Healthcare
• Courtney Brooks, PTA

• Urology Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Urology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.