WILLIAM N BRODINE (NPI# 1215981691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215981691 |
| Entity Type | Individual |
| Full Name | WILLIAM N BRODINE |
| Credential | MD |
| Practice Address |
3200 Ne Ralph Powell Rd Lees Summit MO 64064-2301 |
| Mailing Address |
Po Box 872332 Kansas City MO 64187-2332 |
| Practice Telephone | 8165251600 |
| Mailing Telephone | 8165251600 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2015-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
0419969 | KS | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
R3E15 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA HMO | 0004626639 | 01 | |
| BLUE SHIELD OF KC PPO | 10071014 | 01 | |
| AETNA PPO | 0004626639 | 01 | |
| AETNA | 0004626639 | 01 | |
| PHP FREEDOM | 10071014 | 01 | |
| MO | 1215981691 | 05 | |
| MEDICARE RAILROAD | 060013888 | 01 | |
| BLUE SHIELD OF KC HMO | 10071014 | 01 | |
| CHAMPUS TRICARE | 431092652 A020 | 01 |
| Street Address |
3200 NE RALPH POWELL RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64064-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033162219 | Marco S Mazzella | Internal Medicine | 3200 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | 2006-05-18 |
| 1487982385 | Carondelet Cardiology Services | Internal Medicine | 3200 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | 2009-12-03 |
| 1811162381 | Jenny Kaye Pearson | Nurse Practitioner | 3200 Ne Ralph Powell Rd, Lees Summit, MO 64064-2301 | 2008-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647704 | James Andrew Kleoppel | Dentist | 3320 Ne Ralph Powell Rd., Lee's Summit, MO 64064 | 2020-07-30 |
| 1255991238 | Lee Summit Asc Kc LLC | Clinic/Center | 2861 Ne Independence Avenue, Suite 101, Lee's Summitt, MO 64064 | 2019-06-20 |
| 1073014676 | Sonya Renee Aversman | Dietitian, Registered | 3680 Ne Akin Dr, Suite 134, Lee's Summit, MO 64064 | 2018-02-28 |
| 1407398365 | Lakewood Chiropractic, P.C. | Chiropractor | 731 Ne Lakewood Boulevard, Lee's Summit, MO 64064 | 2016-11-09 |
| 1417403015 | Mikaela Groff | Dietitian, Registered | 401 Ne Grant Ct, Lee's Summit, MO 64064 | 2016-09-01 |
| 1952756405 | Sarah C. Vignery | Speech-Language Pathologist | 3600 Ne Ralph Powell Rd. Suite E, Lee's Summit, MO 64064 | 2016-05-03 |
| 1790146058 | Aneliya H Hristova | Physician Assistant | 3601 Ne Ralph Powell Road., Lee's Summit, MO 64064 | 2016-03-15 |
| 1821469982 | Alysse Barrett Doane | Nurse Practitioner | 2714 Ne Mcbaine Drive, Lees Summit, MO 64064 | 2015-10-15 |
| 1346638814 | Donna Thomas Dds, PC | Dentist | 3359 Ne Ralph Powell Rd, Lee's Summit, MO 64064 | 2015-01-06 |
| 1437579208 | Gregory Lohr | Dentist | 2931 Ne Independence Ave, Lees Summit, MO 64064 | 2014-04-21 |
| Find all providers in zip 64064 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366451635 | Eric S Williams | Internal Medicine | 625 S New Ballas Rd Ste 2030, Saint Louis, MO 63141-8253 | 2006-08-05 |
| 1548214158 | John K Lee | Internal Medicine | 20 Ne Saint Luke's Blvd, Suite 240, Kansas City, MO 64086 | 2006-05-19 |
| 1205809175 | Carey S Fredman | Internal Medicine | 222 S Woods Mill Rd Ste 400n, Chesterfield, MO 63017-3610 | 2006-02-09 |
| 1629439187 | St. Louis Electrophysiology Specialists, LLC | Internal Medicine | 121 Saint Lukes Center Dr Ste 404, Chesterfield, MO 63017-3519 | 2016-03-11 |
| 1427449487 | Prime Healthcare Kansas City - Physician Services LLC | Internal Medicine | 930 Carondelet Dr Ste 201, Kansas City, MO 64114-4698 | 2015-02-12 |
| 1679836381 | Jefferson Cardiovascular and Thoracic Services | Internal Medicine | 1390 Us Highway 61, Suite 3301, Festus, MO 63028-4137 | 2012-06-18 |
| 1164726758 | The Heart Specialty Associates, LLC | Internal Medicine | 10012 Kennerly Rd Ste 403, Saint Louis, MO 63128-2197 | 2010-12-22 |
| 1518280395 | Saint Luke's Physician Group I, LLC | Internal Medicine | 4330 Wornall Rd, Suite 2000, Kansas City, MO 64111-5939 | 2010-03-08 |
| 1356544993 | Aparna Cherla | Internal Medicine | 3800 S National Ave, Springfield, MO 65807-5209 | 2007-06-11 |
| 1104036029 | Jason Alan Rytlewski | Internal Medicine | 1605 East Broadway, #300, Columbia, MO 65201 | 2007-05-22 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64064 |
Please comment or provide details below to improve the information on WILLIAM N BRODINE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.