Brodie, Bruce Rogers

Brodie, Bruce Rogers is an individual health care provider with primary practice located at 1126 N Church St Suite 300, Greensboro NC 27401-1000. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Brodie, Bruce Rogers can be contacted via phone (336) 832-1700.

Contact Information

Primary practice address
1126 N Church St Suite 300 Greensboro NC 27401-1000
Phone: (336) 832-1700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18929 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 18929 North Carolina

Profile Details

NPI number 1629030341
LBN Legal business name Brodie, Bruce Rogers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629030341 NPPES
North Carolina Other 4098065 AETNA PROVIDER NUMBER
North Carolina Other 21403 AETNA PROVIDER NUMBER
North Carolina Other 614 AETNA PROVIDER NUMBER
North Carolina MEDICAID 8918562 AETNA PROVIDER NUMBER
North Carolina Other 18562 AETNA PROVIDER NUMBER

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