Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brody Jules Elliott

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104760701

Brody Jules Elliott is a Student in an Organized Health Care Education/Training Program in Joint Base Lewis McChord, Washington. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

9040A Jackson Ave
Joint Base Lewis McChord, WA 98431-0001
Phone: (562) 250-8512
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104760701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 15, 2026
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026
Mailing address12104 Gerber Ave, La Mirada, CA 90638-1130

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