HARRIS BOB BRODY, HMD, CN, HMD — NPI 1922252048 (Licensed & Credentialed Nutritionist in HATBORO, PA)

CMS-1500 Box 24J / 33a • NPI

1922252048

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

133N00000X

Licensed & Credentialed Nutritionist

Box 32 Service Location & ZIP+4

655 WEST COUNTY LINE RD., HATBORO, PA, 19040

Official NPPES Practice Location

Practice Phone & Referral Fax

(215) 443-9990

Fax: (215) 443-9957

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1922252048 (HARRIS BOB BRODY, HMD, CN, HMD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1922252048` (NPI-1 Individual Practitioner)
Provider / Legal Name	HARRIS BOB BRODY, HMD, CN, HMD
Plain-English Specialty	Licensed & Credentialed Nutritionist NUCC Code: `133N00000X` (Nutritionist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	655 WEST COUNTY LINE RD., HATBORO, PA, 19040
Practice Telephone / Fax	Tel: (215) 443-9990 \| Fax: (215) 443-9957
Administrative Mailing Address	655 WEST COUNTY LINE RD., HATBORO, PA, 19040-1302
Enumeration & Last Sync	Enumerated: 2008-11-17 \| CMS Record Updated: 2010-01-06

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

655 WEST COUNTY LINE RD., HATBORO, PA, 19040

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Plain-English Taxonomy & CMS Crosswalk (133N00000X)

What Does Taxonomy Code 133N00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 133N00000X translates to:
"Licensed & Credentialed Nutritionist"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nutritionist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (HARRIS BOB BRODY, HMD, CN, HMD)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`133N00000X` — Nutritionist Plain English: Licensed & Credentialed Nutritionist	State: NY \| License: `003749-1` \| Primary: Yes (Primary)
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: PA \| License: `CQ001369L` \| Primary: Secondary
`174400000X` — Specialist Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: PA \| License: `CL022136L` \| Primary: Secondary
`175F00000X` — Naturopath Plain English: Licensed & Credentialed Naturopath	State: DC \| License: `NAT173` \| Primary: Secondary
`175F00000X` — Naturopath Plain English: Licensed & Credentialed Naturopath	State: NC \| License: `200001706104` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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HARRIS BOB BRODY, HMD, CN, HMD (NPI #1922252048)