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EVAN M BRODY DPM NPI 1679548168


NPI Information

NPI: 1679548168
Provider Name: EVAN M BRODY, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5205 STILESBORO RD NW STE 205
KENNESAW, GA
ZIP 30152
Phone: (678) 310-0540
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Evan M Brody, DPM is a podiatrist in Kennesaw, GA with 24 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Evan M Brody, DPM NPI is 1679548168. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

5205 STILESBORO RD NW STE 205
KENNESAW, GA
ZIP 30152-765
Phone: (678) 310-0540
Fax: (678) 310-0538

The NPI 1679548168 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • Removal of 2 to 4 thickened skin growths (HCPCS:11056)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Removal of single thickened skin growth (HCPCS:11055)
  • Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

The enumeration date for this NPI number is 2/20/2006 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristPOD000937GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11400101OTHERGEORGIAGHI
22701694OTHERGEORGIAEVERCARE
33262431OTHERGEORGIAAETNA
410055122OTHERGEORGIAAMERIGROUP - MEDICAID
5457858901AMEDICAIDGEORGIA
62700264OTHERGEORGIAUNITED HEALTHCARE
7581994261OTHERGEORGIAHUMANA
8581994261OTHERGEORGIAASSURANT HEALTH
9332208MEDICAIDGEORGIA
10581994261OTHERGEORGIAFIRST HEALTH
116241458OTHERGEORGIACIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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