Individual
MICHAEL JAY BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 KILDAIRE PARK DR STE 201, CARY, NC 27518-8144
(919) 816-4948
(919) 233-7685
Mailing address
115 KILDAIRE PARK DR STE 201, CARY, NC 27518-8144
(919) 816-4948
(919) 233-7685
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9800477
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8911680
—
NC
Enumeration date
09/29/2006
Last updated
04/13/2021
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