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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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