Provider Demographics
NPI:1275347916
Name:RICHARD H. BRODY, MD, LLC
Entity type:Organization
Organization Name:RICHARD H. BRODY, MD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRODY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:413-269-5330
Mailing Address - Street 1:145 COVENTRY LN
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1629
Mailing Address - Country:US
Mailing Address - Phone:413-269-5330
Mailing Address - Fax:413-634-1751
Practice Address - Street 1:200 N MAIN ST
Practice Address - Street 2:SOUTH BUILDING, SUITE 4, UNIT 5
Practice Address - City:E LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028
Practice Address - Country:US
Practice Address - Phone:413-269-5330
Practice Address - Fax:413-634-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction MedicineGroup - Single Specialty