NPI 1821055492 · live from the CMS NPI Registry
Scott A Brodarick, M.D.
Internal Medicine, Cardiovascular Disease in Mcminnville, OR. National Provider Identifier 1821055492, active.
NPI record
| NPI | 1821055492 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 2700 Se Stratus Ave Unit 406, Mcminnville, OR 97128 |
| Practice phone | 503-472-6131 |
| Mailing address | 525 3rd St Ste 304, Lake Oswego, OR 97034 |
| Enumerated | April 27, 2006 |
| Last updated | October 31, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 207RC0000X | DR.0066849 (CO) |
| Internal Medicine, Cardiovascular Disease | 207RC0000X | R6974 (MO) |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | MD208805 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.