Brodie, Dora Miroslava

Brodie, Dora Miroslava is an individual health care provider with primary practice located at 520 N Elam Ave , Greensboro NC 27403-1127. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Brodie, Dora Miroslava can be contacted via phone (336) 547-1700.

Contact Information

Primary practice address
520 N Elam Ave Greensboro NC 27403-1127
Phone: (336) 547-1700
Fax: (336) 547-1828
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 20161 North Carolina
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 20161 North Carolina

Profile Details

NPI number 1609838341
LBN Legal business name Brodie, Dora Miroslava
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Dec 9th, 2013 - about 11 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 1609838341 NPPES
North Carolina Other 4098074 AETNA PROVIDER NUMBER
North Carolina Other 27058 AETNA PROVIDER NUMBER
North Carolina Other 616 AETNA PROVIDER NUMBER
North Carolina MEDICAID 8951893 AETNA PROVIDER NUMBER
North Carolina Other 51893 AETNA PROVIDER NUMBER

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