| Doctor Name: | DR. DAVID BRODY |
| NPI Number: | 1376529115 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 042-0008867 |
| Business Practice Address: | 1290 Hospital Dr Suite 2 St Johnsbury, VT - 058199239 |
| Business Phone Number: | 8027482123 |
| Business Fax Number: | |
| Mailing Address: | 332 Tripp Ln, ST JOHNSBURY |
| State: | VT |
| Postal Code: | 058198508 |
| Phone Number: | 8027485002 |
| Fax Number: | |
| NPI Enumeration Date: | 12/22/2005 |
| NPI Last Update Date: | 11/13/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 042-0008867 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |