Brodie, Richard Alan
Brodie, Richard Alan is an sole proprietor health care provider with primary practice located at 1180 Beacon St , Brookline MA 02446-3885. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Brodie, Richard Alan can be contacted via phone (617) 734-2433.Contact Information
Primary practice address
1180 Beacon St
Brookline MA 02446-3885
Phone: (617) 734-2433
Fax: (617) 566-6586
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52540 | Massachusetts |
Profile Details
| NPI number | 1912900473 |
|---|---|
| LBN Legal business name | Brodie, Richard Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 27th, 2005 |
| Last updated | Jul 5th, 2019 - about 6 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 | 1912900473 | NPPES |
| Massachusetts | MEDICAID | 6176461 |
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