Individual
JASON SCOT BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036110895
IL
207W00000X
Ophthalmology Physician
Primary
063298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1522
MEDICARE ID
SC
05
—
PA1603
—
SC
Enumeration date
06/08/2005
Last updated
12/10/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up