Brodrick, Charles David

Brodrick, Charles David is an individual health care provider with primary practice located at 303 E Quincy St Suite 100, San Antonio TX 78215-1918. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Brodrick, Charles David can be contacted via phone (210) 271-7648.

Contact Information

Primary practice address
303 E Quincy St Suite 100 San Antonio TX 78215-1918
Phone: (210) 271-7648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X L6300 Texas
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X L6300 Texas

Profile Details

NPI number 1336131499
LBN Legal business name Brodrick, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Apr 25th, 2017 - about 7 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 1336131499 NPPES
Texas MEDICAID 1633471-05
Texas MEDICAID 163347104

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