Benjamin L Brody (NPI# 1245243799, PAC ID# 7517925472) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1245243799 |
| PAC ID by PECOS | 7517925472 |
| Professional Enrollment ID | I20041222000662 |
| Full Name | Benjamin L Brody |
| Organization Legal Name | LEGACY MERIDIAN PARK HOSPITAL |
| Address |
1433 Se 1st Ave Canby OR 97013-6768 |
| Phone Number | 5035257600 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 5092609842 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380029 | LEGACY SILVERTON MEDICAL CENTER |
| 380009 | OHSU HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1433 Se 1st Ave, Canby, OR 97013-6768 | 5035257600 | LEGACY MERIDIAN PARK HOSPITAL |
| Organization Legal Name | LEGACY MERIDIAN PARK HOSPITAL |
| Physicians | 42 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Marie Mcgarry | Psychologist, Clinical | Legacy Meridian Park Hospital | 1433 Se 1st Ave, Canby, OR 97013-6768 |
| Alia Paquette | Internal Medicine | Legacy Meridian Park Hospital | 18010 Sw Mcewan Rd, Lake Oswego, OR 97035-7868 |
| Jenna M Donaldson | Family Medicine | Legacy Meridian Park Hospital | 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602 |
| Joshua Alexander Gepner | Family Medicine | Legacy Meridian Park Hospital | 412 A Ave, Lake Oswego, OR 97034-3075 |
| Colin M Mcdonough | Internal Medicine | Legacy Meridian Park Hospital | 19875 Sw 65th Ave, Tualatin, OR 97062-8353 |
| Laura L Gaff | Family Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Srividya Venigalla | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Rychel Rae Cor | Psychologist, Clinical | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Elizabeth A Reding | Internal Medicine | Legacy Meridian Park Hospital | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 |
| Laura E Anissian | Internal Medicine | Legacy Meridian Park Hospital | 18010 Sw Mcewan Rd, Lake Oswego, OR 97035-7868 |
| Street Address |
1433 SE 1ST AVE |
| City | CANBY |
| State | OR |
| Zip | 97013-6768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tara Marie Mcgarry | Psychologist, Clinical | Legacy Meridian Park Hospital | 1433 Se 1st Ave, Canby, OR 97013-6768 |
| David R Peter | Family Medicine | Legacy Meridian Park Hospital | 1433 Se 1st Ave, Canby, OR 97013-6768 |
| Amanda S Gay | Family Medicine | Legacy Meridian Park Hospital | 1433 Se 1st Ave, Canby, OR 97013-6768 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlo Brandon Crumpacker | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| Mackenzie Bartelli | Physical Therapy | North Lake Physical Therapy and Rehab Lp | 365 S Redwood St, Canby, OR 97013-2405 |
| John Alan Zieg | Optometry | 310 Nw 3rd Ave, Canby Vision Clinic, Canby, OR 97013-3603 | |
| Janae Z Brill | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Deona L Bridgeman | Family Medicine | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Joanna Anders | Nurse Practitioner | Davies Clinic PC | 345 N Grant St, Canby, OR 97013-3610 |
| Daniel Richard Ryan | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Ashley K Mcferron | Optometry | Ashley K Mcferron Od PC | 364 N Ivy St, Canby, OR 97013-3704 |
| Tyler Bohnet | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Elizabeth Ann Henderson | Physical Therapy | New Proactive LLC | 308 N Ivy St, Canby, OR 97013-3704 |
| Find all physicians in zip 97013 | |||
| City | CANBY |
| Zip Code | 97013 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CANBY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Benjamin L 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.