Provider Demographics
NPI:1770479818
Name:HIGH, BRODY T (DC)
Entity type:Individual
Prefix:DR
First Name:BRODY
Middle Name:T
Last Name:HIGH
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 WHALE POND RD FL 2
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:NJ
Mailing Address - Zip Code:07755-1358
Mailing Address - Country:US
Mailing Address - Phone:908-839-0435
Mailing Address - Fax:
Practice Address - Street 1:3338 US 9
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-9148
Practice Address - Country:US
Practice Address - Phone:732-780-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00813500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor