TIA YAA ASANTEWA BRODEUR MD NPI 1730535162

NPI Information

  • NPI: 1730535162
  • Provider Name: TIA YAA ASANTEWA BRODEUR, MD
  • Classification: Obstetrics & Gynecology - 207VE0102X
  • Specialization: Reproductive Endocrinology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 500 N KEENE ST STE 203
    COLUMBIA, MO
    ZIP 65201
  • Phone: (573) 817-3101

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NPI Details

Tia Yaa Asantewa Brodeur, MD is a reproductive endocrinology obstetrics gynecology in Columbia, MO with 10 years of experience. The provider is an obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. Tia Yaa Asantewa Brodeur, MD NPI is 1730535162. 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:

500 N KEENE ST STE 203
COLUMBIA, MO
ZIP 65201-144
Phone: (573) 817-3101
Fax: (573) 499-6065

The NPI 1730535162 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 5/4/2016 and was last updated on 4/22/2025.

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
1207V00000XObstetrics & Gynecology01090134AINDIANANo
2207V00000XObstetrics & Gynecology2025013271MISSOURINo
3207VE0102XObstetrics & GynecologyReproductive Endocrinology2025013271MISSOURIYes

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
1896330098OTHERINDIANAMEDICARE PTAN
2300078645MEDICAIDINDIANA

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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