AMANDA CHRISTINE BRODEUR MD NPI 1528164159

NPI Information

  • NPI: 1528164159
  • Provider Name: AMANDA CHRISTINE BRODEUR, MD
  • Classification: Medical Genetics - 207SG0201X
  • Specialization: Clinical Genetics (M.D.)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1965 S FREMONT AVE
    STE 220
    SPRINGFIELD, MO
    ZIP 65804
  • Phone: (417) 820-2229

Map and Directions

Get Directions

NPI Details

Amanda Christine Brodeur, MD is a clinical genetics (m.d.) medical genetics in Springfield, MO with 19 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. Amanda Christine Brodeur, MD NPI is 1528164159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1965 S FREMONT AVE
STE 220
SPRINGFIELD, MO
ZIP 65804-201
Phone: (417) 820-2229
Fax: (417) 820-6580

The NPI 1528164159 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 9/14/2006 and was last updated on 1/12/2024.

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
1208000000XPediatrics2011001799MISSOURINo
2207SG0201XMedical GeneticsClinical Genetics (M.D.)2011001799MISSOURIYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI