Stacy L Brodrick (NPI# 1013917954, PAC ID# 9234265869) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1013917954 |
| PAC ID by PECOS | 9234265869 |
| Professional Enrollment ID | I20100407000216 |
| Full Name | Stacy L Brodrick |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF ARIZONA, INC |
| Address |
1171 W Target Range Rd Nogales AZ 85621-2415 |
| Phone Number | 5202872771 |
| Gender | F |
| Medical School | UNIVERSITY OF SOUTHERN CALIFORNIA SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5799066650 |
| Number of Group Practice Members | 75 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030010 | ST. MARY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1171 W Target Range Rd, Nogales, AZ 85621-2415 | 5202872771 | SOUND PHYSICIANS EMERGENCY MEDICINE OF ARIZONA, INC |
| 350 N Wilmot Rd, Tucson, AZ 85711-2602 | 5208733000 | SOUND PHYSICIANS EMERGENCY MEDICINE OF ARIZONA, INC |
| Organization Legal Name | SOUND PHYSICIANS EMERGENCY MEDICINE OF ARIZONA, INC |
| Physicians | 62 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose M Carbajal | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| John M Reid | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Francisco Sandoval | Nurse Practitioner | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Keli A Lawton | Nurse Practitioner | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Christopher Q May | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 350 N Wilmot Rd, Tucson, AZ 85711-2602 |
| Armando T Moreno | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Ruth M Berner | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Comfort Db Hines | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 350 N Wilmot Rd, Tucson, AZ 85711-2602 |
| Warren Gluck | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Ajita Shah | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Street Address |
1171 W TARGET RANGE RD |
| City | NOGALES |
| State | AZ |
| Zip | 85621-2415 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose M Carbajal | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| John M Reid | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Francisco Sandoval | Nurse Practitioner | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Keli A Lawton | Nurse Practitioner | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Armando T Moreno | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Ruth M Berner | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Warren Gluck | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Ajita Shah | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Michael R. Ori | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Kyle Watanabe | Emergency Medicine | Sound Physicians Emergency Medicine of Arizona, Inc | 1171 W Target Range Rd, Nogales, AZ 85621-2415 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas A Bottoms | Optometry | Nationwide Optometry P.C. | 204 W Mariposa Rd, 24 Nw Vision Ctr, Nogales, AZ 85621-1007 |
| Yvette D Braun | Chiropractic | 1821 N Mastick Way, 1 Nogales Chiropractic and Rehab Sports Center, Nogales, AZ 85621-1032 | |
| James E Flores | Optometry | Southwestern Eye Center, Ltd | 1815 N Mastick Way, Nogales, AZ 85621-1046 |
| Robert L Androff | Physical Therapy | 1815 N Mastick Way, Suite 2, Nogales, AZ 85621-1058 | |
| Emily T Roth | Nurse Practitioner | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Valerie A Wohl | Family Medicine | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Steven J Dudick | Obstetrics/gynecology | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Rosa Isela Machado | Family Medicine | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Eladio Pereira | Internal Medicine | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Jorge Omar Flores Lopez | Internal Medicine | Mariposa Community Health Center | 1852 N Mastick Way, Nogales, AZ 85621-1063 |
| Find all physicians in zip 85621 | |||
| City | NOGALES |
| Zip Code | 85621 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | NOGALES + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Stacy L Brodrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.