Brodell Medical, Inc

LBN: Brodell Medical, Inc
Brodell Medical, Inc is an health care organization with primary practice located at 2660 E Market St , Warren OH 44483-6204. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Brodell Medical, Inc can be contacted via phone (330) 393-4000, or through Brodell, Robert T via phone (330) 393-4000.

Contact Information

Primary practice address
2660 E Market St Warren OH 44483-6204
Phone: (330) 393-4000
Fax: (330) 392-5870
Website:
Map and Directions
Authorized official contact:
Name: Brodell, Robert T Doctor of Medicine (MD)
Phone: (330) 393-4000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35051453 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35055185 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35051515 Ohio
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35055186 Ohio

Profile Details

NPI number 1922129659
LBN Legal business name Brodell Medical, Inc
DBA Doing business as
Authorized official Brodell, Robert T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 2nd, 2007
Last updated Mar 15th, 2011 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922129659 NPPES
Ohio MEDICAID 0583962

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