Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ROBERT BRODY, M.D.
Active Sole ProprietorMARK ROBERT BRODY, M.D. is a Public Health & General Preventive Medicine healthcare provider located in PROVIDENCE, Rhode Island. NPI 1215031661 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · PROVIDENCE, RI
Registration Details
- NPI Number
- 1215031661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 7, 2006 (19.965248002585 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
08028 (RI)08028 (RI)08028 (RI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
295 ANGELL STPROVIDENCE, RI, 029062119Browse RI providers · Browse ZIP 02906
- Phone
- 4018614643
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
- Additional Specialty
- Psychiatry
- Additional Specialty
- Psychiatric Neurology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.