DAVID S BRODY, MD (NPI# 1962654335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962654335 |
| Entity Type | Organization |
| Organization Name | DAVID S BRODY, MD |
| Practice Address |
1290 Hospital Dr Suite 2 St Johnsbury VT 05819-9205 |
| Practice Telephone | 8027482123 |
| Mailing Telephone | 8027482123 |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |
| Authorized Official Name | DAVID BRODY (OWNER) |
| Authorized Official Telephone | 8027482123 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
1290 HOSPITAL DR SUITE 2 |
| City | ST JOHNSBURY |
| State | VT |
| Zip Code | 05819-9205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649265497 | Stephen J Phipps | Ophthalmology | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-19 |
| 1720037252 | Kenneth S. Danielson | Internal Medicine | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-10 |
| 1881643203 | Christopher S. Danielson | Surgery | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-10 |
| 1760431878 | Danielson Surgical Associates | Clinic/Center | 1290 Hospital Dr, St Johnsbury, VT 05819-9205 | 2006-05-08 |
| 1366419897 | Eye Associates of Northern New England | Durable Medical Equipment & Medical Supplies | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2006-03-03 |
| 1659347508 | Eye Associates of Northern New England, LLP | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2006-02-28 |
| 1376529115 | David Brody | General Practice | 1290 Hospital Dr, Ste 2, St Johnsbury, VT 05819-9239 | 2005-12-22 |
| 1467448613 | Brian J Mawhinney | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-23 |
| 1871589366 | Ted Vj Houle | Ophthalmology | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-21 |
| 1649266149 | Paul M Lindstrom | Optometrist | 1290 Hospital Dr, Suite 5, St Johnsbury, VT 05819-9239 | 2005-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710457353 | Amber L Carrasquillo | Pharmacist | 438 Railroad St Apt 301, Saint Johnsbury, VT 05819 | 2018-11-27 |
| 1700378734 | Laura Amy Nixon | Physician Assistant | 41 Sherman Drive, St. Johnsbury, VT 05819 | 2018-06-05 |
| 1447797873 | Kingdom Autism and Behavioral Health, LLC | Behavioral Analyst | 397 Railroad Street, Suite Number #4, St. Johnsbury, VT 05819 | 2017-01-24 |
| 1407211493 | Scott Rosemark | Pharmacist | 957 Memorial Drive, Saint Johnsbury, VT 05819 | 2015-12-18 |
| 1134541295 | Meghan Davis | Counselor | 231 Concord Ave Ste 2, St Johnsbury, VT 05819 | 2014-01-09 |
| 1639490279 | Carol Lynn Smith | Counselor | 445 Portland St, St. Johnsbury, VT 05819 | 2010-06-17 |
| 1548435696 | Philip Lightbear | Counselor | 108 Cherry Street Suite 1, St Johnsburg, VT 05819 | 2008-04-29 |
| 1740452416 | Kimberly Dena Lightbear | Counselor | 108 Cherry Street, St Johnsbury, VT 05819 | 2008-04-02 |
| 1720262249 | Deborah B Goldberg | Psychologist | 1194 Main Street, Suite 107, St Johnsbury, VT 05819 | 2007-12-19 |
| 1154501880 | Mary Jane Egerton | Social Worker | 506 Tripp Lane, St Johnsburg, VT 05819 | 2007-11-09 |
| Find all providers in zip 05819 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376529115 | David Brody | General Practice | 1290 Hospital Dr, Ste 2, St Johnsbury, VT 05819-9239 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215367891 | Indian Stream Health Center, Inc | General Practice | 253 Gale St, Canaan Site, Canaan, VT 05903 | 2013-11-19 |
| 1013269430 | Gifford Health Care, Inc | General Practice | 44 South Main St., Randolph, VT 05060-2000 | 2012-10-09 |
| 1457627390 | Jillian Iris Finker | General Practice | 55 North Route 30, Bomoseen, VT 05732 | 2012-03-26 |
| 1033486493 | Avalon Natural Medicine of Vermont, LLC | General Practice | 299 College Street, Burlington, VT 05401 | 2011-11-29 |
| 1356595599 | Horace Oliver Reider | General Practice | 47 Park Ave., Lyndonville, VT 05851 | 2008-11-14 |
| 1043421092 | Vermont Physicians Clinic Inc. | General Practice | 4 Commons St, Rutland, VT 05701-4651 | 2007-05-24 |
| 1639208911 | Robert Lyon Venman | General Practice | 10 Court Street, Middlebury, VT 05753 | 2007-03-05 |
| 1063447340 | John Dale Patton | General Practice | 991 Balen Hazen Rd, Ryegate, VT 05042 | 2006-07-12 |
| 1427053107 | William Arthur Birge | General Practice | 76 Lakemont Rd, Newport, VT 05855-9690 | 2005-06-17 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| Find all providers with the same taxonomy | ||||
| City | ST JOHNSBURY |
| Zip Code | 05819 |
Please comment or provide details below to improve the information on DAVID S BRODY, MD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.