Individual
MICHAEL S BRODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8820 S MERIDIAN ST, SUITE 120, INDIANAPOLIS, IN 46217-6057
(317) 865-6700
(317) 865-6707
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01057408
IN
207Q00000X
Family Medicine Physician
Primary
01057408A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200449110
—
IN
Enumeration date
06/21/2006
Last updated
05/19/2025
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