NPI 1356911754 · live from the CMS NPI Registry
Alexandra Brodka, MD
Family Medicine in Casper, WY. National Provider Identifier 1356911754, active.
NPI record
| NPI | 1356911754 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1020 S Conwell St, Casper, WY 82601 |
| Practice phone | 307-265-8300 |
| Enumerated | June 28, 2021 |
| Last updated | June 24, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 16980A (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.