| Jennifer D. Brody Md Pa | |
|
1139 E Sonterra Blvd Suite 300 San Antonio TX 78258-4347 | |
| (210) 499-0770 | |
| (210) 499-0750 |
| Full Name | Jennifer D. Brody Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1139 E Sonterra Blvd, San Antonio, Texas |
| Authorized Official Name and Position | Jennifer Diane Brody (PRESIDENT) |
| Authorized Official Contact | 2104990770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer D. Brody Md Pa 1139 E Sonterra Blvd Suite 300 San Antonio TX 78258-4347 Ph: (210) 499-0770 | Jennifer D. Brody Md Pa 1139 E Sonterra Blvd Suite 300 San Antonio TX 78258-4347 Ph: (210) 499-0770 |
| NPI Number | 1346598109 |
|---|---|
| Provider Enumeration Date | 08/27/2012 |
| Last Update Date | 02/01/2015 |
| Medicare PECOS PAC ID | 0749439123 |
|---|---|
| Medicare Enrollment ID | O20120928000101 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346598109 | NPI | - | NPPES |
| 3116667-01 | Medicaid | TX |
| Provider Name | Jennifer D Brody |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609862127 PECOS PAC ID: 2567489289 Enrollment ID: I20051101000300 |
| Provider Name | Ashlee D Dugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215397898 PECOS PAC ID: 4284932039 Enrollment ID: I20160412002447 |
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