WILLIAM N BRODINE MD NPI 1215981691

NPI Information

NPI: 1215981691
Provider Name: WILLIAM N BRODINE, MD
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

PECOS Registration: Yes

Address:
3200 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064
Phone: (816) 525-1600
Get Directions

William N Brodine, MD is a clinical cardiac electrophysiology internal medicine in Lees Summit, MO. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. William N Brodine, MD NPI is 1215981691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3200 NE RALPH POWELL RD
LEES SUMMIT, MO
ZIP 64064-301
Phone: (816) 525-1600

The NPI 1215981691 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 5/20/2006 and was last updated on 4/1/2015.

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	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	0419969	KANSAS	No
2	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	R3E15	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0004626639	OTHER		AETNA PPO
2	10071014	OTHER		PHP FREEDOM
3	C51699	MEDICARE UPIN
4	10071014	OTHER		BLUE SHIELD OF KC HMO
5	10071014	OTHER		BLUE SHIELD OF KC PPO
6	1215981691	MEDICAID	MISSOURI
7	MA2231005	MEDICARE PIN	MISSOURI
8	0004626639	OTHER		AETNA
9	0004626639	OTHER		AETNA HMO
10	060013888	OTHER		MEDICARE RAILROAD
11	MA3395004	MEDICARE PIN	MISSOURI
12	431092652 A020	OTHER		CHAMPUS TRICARE

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: 11/14/2023

NPI Synchronization or Removal

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