Lesley Brodie, M.D., P.C.
LBN: Lesley Brodie, M.D., P.C.
Lesley Brodie, M.D., P.C. is an health care organization with primary practice located at 82 Elm Street , Manchester Center VT 05255-9642. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Lesley Brodie, M.D., P.C. can be contacted via phone (802) 367-1068, or through Brodie, Lesley Thompson via phone (802) 367-1068.
Contact Information
Primary practice address
82 Elm Street
Manchester Center VT 05255-9642
Phone: (802) 367-1068
Fax: (802) 367-1069
Website:
Authorized official contact:
Name: Brodie, Lesley Thompson Doctor of Medicine (MD)
Phone: (802) 367-1068
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | 042.0012150 | Vermont |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 042.0012150 | Vermont |
Profile Details
| NPI number | 1114347440 |
|---|---|
| LBN Legal business name | Lesley Brodie, M.D., P.C. |
| DBA Doing business as | |
| Authorized official | Brodie, Lesley Thompson Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 25th, 2014 |
| Last updated | Apr 25th, 2014 - about 11 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114347440 | NPPES |
| Vermont | MEDICAID | 1019286 |
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