Brodhead, Roderick Scott

Brodhead, Roderick Scott is an sole proprietor health care provider with primary practice located at W129N7055 Northfield Dr , Menomonee Falls WI 53051-0538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Brodhead, Roderick Scott can be contacted via phone (262) 253-5400.

Contact Information

Primary practice address
W129N7055 Northfield Dr Menomonee Falls WI 53051-0538
Phone: (262) 253-5400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 26539 Wisconsin

Profile Details

NPI number 1356384564
LBN Legal business name Brodhead, Roderick Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Jun 25th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356384564 NPPES
Wisconsin MEDICAID 32084900

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