Provider Demographics
NPI:1265558266
Name:BRODY, STEVEN ANDREW (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:ANDREW
Last Name:BRODY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7514 GIRARD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-5149
Mailing Address - Country:US
Mailing Address - Phone:619-265-1800
Mailing Address - Fax:858-453-8587
Practice Address - Street 1:8899 UNIVERSITY CENTER LN
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92122-1013
Practice Address - Country:US
Practice Address - Phone:619-265-1800
Practice Address - Fax:858-453-8587
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2008-11-20
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Provider Licenses
StateLicense IDTaxonomies
CAG47356207RE0101X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG47356AMedicare PIN