DR. ELISABETH BRODEUR M.D. NPI 1679952196

NPI Information

  • NPI: 1679952196
  • Provider Name: DR. ELISABETH BRODEUR, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 1 GENESYS PKWY
    STE 4595
    GRAND BLANC, MI
    ZIP 48439
  • Phone: (810) 606-5126

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NPI Details

DR. Elisabeth Brodeur, M.D. is a family medicine in Grand Blanc, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Elisabeth Brodeur, M.D. NPI is 1679952196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 GENESYS PKWY
STE 4595
GRAND BLANC, MI
ZIP 48439-065
Phone: (810) 606-5126

The enumeration date for this NPI number is 5/29/2015 and was last updated on 6/17/2016.

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
1207Q00000XFamily Medicine4301107214MICHIGANYes

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: 11/21/2025

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