MEDICARE: BRODY MALONE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	117719-23	NH

General Provider Information

NPI Number	:	1235099813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRODY MALONE

Provider Business Mailing Address
First Line	:	1073 N BENSON RD # 6602
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-5195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-2598
Country	:	US
Telephone Number	:	603-225-2711
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2025
Last Update Date	:	06/02/2026

Similar Medicare Providers

1174510218 — DR. FRED P. DUTTON MD
Practice Location Address:

250 PLEASANT STREET , EMERGENCY DEPARTMENT
CONCORD, NH
03301-2598

Practice Phone: 603-225-2711
Practice Fax: 603-224-6527

1912968074 — DR. RICHARD J STEELE M.D.
Practice Location Address:

250 PLEASANT ST
CONCORD, NH
03301-2598

Practice Phone: 603-789-9103
Practice Fax: 603-227-7832

1487603791 — DAVID SIEGEL
Practice Location Address:

250 PLEASANT ST
CONCORD, NH
03301-2598

Practice Phone: 603-789-9103
Practice Fax: 603-227-7832

1760433205 — TAMARA L SHILLING DO
Practice Location Address:

250 PLEASANT ST.
CONCORD, NH
03301-2598

Practice Phone: 603-228-7200
Practice Fax: 603-227-7562

1407809239 — DR. JOHN FRANCIS BARKSDALE MD
Practice Location Address:

250 PLEASANT ST.
CONCORD, NH
03301-2598

Practice Phone: 603-228-7200
Practice Fax: 603-227-7562

1730123811 — JOSEPH R GUARNACCIA DO
Practice Location Address:

250 PLEASANT ST
CONCORD, NH
03301-2598

Practice Phone: 603-225-2711
Practice Fax: 603-224-6527

Directions to “ BRODY MALONE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.