William Anthony Brody Jr.
Student in an Organized Health Care Education/Training Program in Wilton Manors, FL. Individual provider (NPI-1).
NPI number1023908332
StatusActive
Last updated in NPPESJul 8, 2025
Details
- NPI
- 1023908332
- Entity type
- Individual (NPI-1)
- Name
- William Anthony Brody Jr.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2025
- Certification date
- Jul 8, 2025
- Last updated
- Jul 8, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | 9497744 | FL | Yes |
Practice location
1309 Ne 23rd St Apt AWilton Manors, FL 33305-2320
Phone 412-716-0211
Mailing address
1309 Ne 23rd St Apt AWilton Manors, FL 33305-2320
Phone 412-716-0211
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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