DR. CORRIE D BROUDY (NPI# 1558467514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558467514 |
| Entity Type | Individual |
| Full Name | DR. CORRIE D BROUDY |
| Credential | MD |
| Practice Address |
300 Fir St San Diego CA 92101-2327 |
| Practice Telephone | 6194461539 |
| Practice Fax Number | 6194461569 |
| Mailing Telephone | 6194461539 |
| Mailing Fax Number | 6194461569 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2014-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A82832 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDI CAL | FHC18880F | 01 |
| Street Address |
300 FIR ST |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92101-2327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275533465 | Habib Dalhoumi | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2005-07-28 |
| 1043789878 | Kristie Yee Dang | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2018-11-22 |
| 1306322003 | Emma Reaves | Physical Therapist | 300 Fir St, San Diego, CA 92101-2327 | 2018-07-16 |
| 1982109740 | Haran Sivakumar | Family Medicine | 300 Fir St, San Diego, CA 92101-2327 | 2018-03-26 |
| 1033644844 | Kathleen Kramer | General Practice | 300 Fir St, San Diego, CA 92101-2393 | 2017-04-30 |
| 1891153821 | Beverly Hunter | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2016-02-04 |
| 1528423472 | Lauren Chu | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2015-12-18 |
| 1447637145 | Fadi Georges | Family Medicine | 300 Fir St, San Diego, CA 92101-2393 | 2015-05-01 |
| 1568849495 | David Francis Reilly | General Practice | 300 Fir St, San Diego, CA 92101-2327 | 2015-04-29 |
| 1053718270 | Hector Morales Jr. | Pharmacist | 300 Fir St, San Diego, CA 92101-2327 | 2014-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1265056048 | Tilbe Yildirim | Student in an Organized Health Care Education/Training Program | 1963 Fourth Ave., San Diego, CA 92101 | 2020-06-08 |
| 1235752585 | Liminal Solutions LLC | Home Health | 845 15th Street, Floors 1-4, San Diego, CA 92101 | 2020-05-21 |
| 1699258459 | Talya Donahue | Peer Specialist | 1045 Ninth Ave, San Diego, CA 92101 | 2018-09-07 |
| 1700380086 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 1850 5th Ave, San Diego, CA 92101 | 2018-03-21 |
| 1013436161 | Yasmin Galicianava | Student in an Organized Health Care Education/Training Program | 734 Tenth Ave, San Diego, CA 92101 | 2017-09-10 |
| 1487172516 | Jessica Roach | Counselor | 1045 9th Avenue, San Diego, CA 92101 | 2017-09-09 |
| 1699204099 | Lisa Nunez | Student in an Organized Health Care Education/Training Program | 1963 4th Avenue, San Diego, CA 92101 | 2017-06-08 |
| 1356882245 | Dajah Mone't Lockett | Counselor | 2535 Kettner Blvd Suite 1a4, San Diego, CA 92101 | 2017-03-13 |
| 1649718495 | Luigi Bunyi | Behavior Technician | 501 W Broadway Suite 800, San Diego, CA 92101 | 2017-02-01 |
| Find all providers in zip 92101 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1538799309 | Ajay Nirula | Internal Medicine | 5171 Meadows Del Mar, San Diego, CA 92130-4855 | 2020-01-21 |
| 1659842532 | Harry Edward Gruber | Internal Medicine | 4511 Rancho Del Mar Trl, San Diego, CA 92130-5207 | 2018-12-17 |
| 1447791181 | Ross Stephen Howard | Internal Medicine | 936 Harbor View Dr, San Diego, CA 92106-2438 | 2017-03-14 |
| 1316213705 | Megan Therese Lynch | Internal Medicine | 3881 Valley Centre Dr Ste 4d, San Diego, CA 92130-2332 | 2012-03-29 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1740588235 | Robert Tilden Reid Jr. | Internal Medicine | 8716 Production Ave, San Diego, CA 92121-2297 | 2011-03-07 |
| 1346276540 | Justina Jennan Tseng | Internal Medicine | 4725 Market St, San Diego, CA 92102-4715 | 2006-06-23 |
| 1639136344 | Natasha Siddiqui Conley | Internal Medicine | 3033 Bunker Hill Drive, Kaiser Permanente, San Diego, CA 92109 | 2006-04-27 |
| 1033181490 | Shauna Frances O'sullivan | Internal Medicine | 3400 Bob Wilson Dr, Nmcsd Suite 300, San Diego, CA 92134-3300 | 2006-02-01 |
| 1154965093 | Morrison Multi-specialties Companies Inc | Internal Medicine | 3633 Camino Del Rio S, San Diego, CA 92108-4011 | 2019-11-04 |
| Find all providers in SAN DIEGO | ||||
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| 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.