Active NPIIndividual providerSole proprietor

Mark R Brody, MD

Preventive Medicine, Public Health & General Preventive Medicine in Providence, Rhode Island

NPI Number1215031661
Practice location
295 Angell St, Providence, RI 02906-2119
Fax
—
Last updated
September 11, 2025

Mark Robert Brody is a Preventive Medicine, Public Health & General Preventive Medicine based in Providence, RI. Mark Robert Brody practices in Providence, RI and has the professional credentials of MD. The NPI Number for Mark Robert Brody is 1215031661 and holds a License No. 08028 (RI). The current practice location address for Mark Robert Brody is 295 Angell St, Providence, RI 02906-2119 and can be reached out via phone at 401-861-4643.

Provider Profile Details

NPI Number
1215031661
Provider Name
Mark Robert Brody
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
295 Angell St, Providence, RI 02906-2119
Phone Number
401-861-4643
Sole Proprietor
Yes
Provider Enumeration Date
September 7, 2006
Last Update Date
September 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
295 Angell St
Providence, RI 02906-2119
Zip
02906-2119
Phone Number
401-861-4643
Providence, RI 02906Get directions →

Provider Business Mailing Address Details

Address
295 Angell St
Providence, RI 02906-2119
City
Providence
State
RI
Zip
02906-2119
Phone Number
401-861-4643

License Information

License Number (1)
08028
License State (1)
RI
License Number (2)
08028
License State (2)
RI
Taxonomy (2)
Psychiatry & Neurology, Psychiatry · 2084P0800X
License Number (3)
08028
License State (3)
RI

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mark R Brody, MD?

The NPI number of Mark R Brody, MD is 1215031661. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark R Brody, MD?

Mark R Brody, MD is registered under the primary taxonomy Preventive Medicine, Public Health & General Preventive Medicine (code 2083P0901X), licensed in RI under license number 08028.

Where does Mark R Brody, MD practice?

The practice location is 295 Angell St, Providence, RI 02906-2119. The office can be reached at 401-861-4643 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215031661 directly on the NPPES registry website.

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