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BRODY JULES ELLIOTT
NPI 1104760701
Student in an Organized Health Care Education/Training Program in Joint Base Lewis Mcchord, WA

Active since April 15, 2026
9040A JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431(562) 250-8512 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brody Jules Elliott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODY JULES ELLIOTT (NPI 1104760701) is an individual student in an organized health care education/training program in Joint Base Lewis Mcchord, Washington and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1104760701
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBRODY JULES ELLIOTT
Location Address9040A JACKSON AVEJoint Base Lewis Mcchord, WA 98431-0001
Mailing Address12104 Gerber AveLa Mirada, CA 90638-1130
Phone(562) 250-8512
Sole ProprietorNo
Enumeration DateApril 15, 2026
NPPES CertifiedApril 15, 2026
✔ NPI 1104760701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9040A JACKSON AVE, Joint Base Lewis Mcchord, WA 98431
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIMOTHY THOMAS CAVANAGH JR. PHARMD
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2999
MADIGAN ARMY MEDICAL CENTER
Military Hospital (Military General Acute Care Hospital. Operational (Transportable))
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1684
ELIDETH O'DELL
Social Worker (Clinical)
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
TRAVON JOHNSON PSY.D.
Psychologist (Clinical)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-1110
DR. RICHARD LYLE URBON JR. M.D.
Internal Medicine
9040A JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0166
PATRICK ANTHONY HOGG COTA
Occupational Therapy Assistant
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (206) 795-3389
RYAN MICHAEL BROCK PHARM.D
Pharmacist
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (210) 625-2268
SURYA SINGH DO
Internal Medicine (Rheumatology)
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA 98431
Pierce County (253) 968-2287

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brody Elliott's NPI number?

The NPI number for Brody Elliott is 1104760701. It was assigned to this individual provider in the NPPES registry on April 15, 2026.

Where is Brody Elliott located?

Brody Elliott practices at 9040A Jackson Ave, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (562) 250-8512.

What is Brody Elliott's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Brody Elliott was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.