Evan M Brody (NPI# 1679548168, PAC ID# 1254434319) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1679548168 |
| PAC ID by PECOS | 1254434319 |
| Professional Enrollment ID | I20100322000594 |
| Full Name | Evan M Brody |
| Organization Legal Name | GEORGIA PODIATRY, INC |
| Address |
5150 Stilesboro Nwrd Suite 620 Kennesaw GA 30152-7760 |
| Phone Number | 6783100540 |
| Gender | M |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 7810165354 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110035 | WELLSTAR KENNESTONE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5150 Stilesboro Nwrd, Suite 620, Kennesaw, GA 30152-7760 | 6783100540 | GEORGIA PODIATRY, INC |
| Organization Legal Name | GEORGIA PODIATRY, INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Harshil Patel | Podiatry | Georgia Podiatry, Inc | 5205 Stilesboro Rd Nw, Suite 205, Kennesaw, GA 30152-7765 |
| Erin J Cupolo | Podiatry | Georgia Podiatry, Inc | 5150 Stilesboro Nwrd, Suite 620, Kennesaw, GA 30152-7760 |
| Street Address |
5150 STILESBORO NWRD SUITE 620 |
| City | KENNESAW |
| State | GA |
| Zip | 30152-7760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin J Cupolo | Podiatry | Georgia Podiatry, Inc | 5150 Stilesboro Nwrd, Suite 620, Kennesaw, GA 30152-7760 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory J Matechak | Family Medicine | 1600 Kennesaw Due W, Bldg 600 Suite 620, Kennesaw, GA 30152 | |
| Jennifer Mosier Quam | Nurse Practitioner | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Robert J Del Pozo | Psychiatry | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Abdul Syed | Psychiatry | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Elizabeth Jean Reardon | Nurse Practitioner | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Harry Lightfoot Jr. | General Surgery | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Keith R Jackson | Otolaryngology | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Kate Alexander Kositzky | Nurse Practitioner | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Hamid H Bakhtiary | Hospitalist | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Eduardo J Molinary | Pulmonary Disease | Wellstar Medical Group, LLC | 5150 Stilesboro N W Rd, Suite 120, Kennesaw, GA 30152 |
| Find all physicians in zip 30152 | |||
| City | KENNESAW |
| Zip Code | 30152 |
| Specialty | PODIATRY |
| City + Specialty | KENNESAW + PODIATRY |
Please comment or provide details below to improve the information on Evan M Brody.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.