KATHERINE BRODAHL PA C NPI 1336509959

NPI Information

NPI: 1336509959
Provider Name: KATHERINE BRODAHL, PA C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
EMILE 42ND ST
OMAHA, NE
ZIP 68198
Phone: (402) 559-4988
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Katherine Brodahl, PA C is a medical physician assistant in Omaha, NE with 9 years of experience. Katherine Brodahl, PA C NPI is 1336509959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduation Year:2015

The provider's business location address is:

EMILE 42ND ST
OMAHA, NE
ZIP 68198-001
Phone: (402) 559-4988
Fax: (402) 559-9643

The NPI 1336509959 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/24/2016 and was last updated on 2/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		2000	NEBRASKA	No
2	363AM0700X	Physician Assistant	Medical	2000	NEBRASKA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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