Active NPIIndividual providerSole proprietor

Dr. Kristin R Brodie, MD

Otolaryngology in Bridgewater Corners, Vermont

NPI Number1356563258
Practice location
123 Fancher RD, Bridgewater Corners, VT 05035-9736
Fax
—
Last updated
December 8, 2023

Kristin Royce Brodie is an Otolaryngology based in Bridgewater Corners, VT. Kristin Royce Brodie practices in Bridgewater Corners, VT and has the professional credentials of MD. The NPI Number for Kristin Royce Brodie is 1356563258 and holds a License No. 178242-01 (NY). The current practice location address for Kristin Royce Brodie is 123 Fancher RD, Bridgewater Corners, VT 05035-9736 and can be reached out via phone at 315-436-8864.

Provider Profile Details

NPI Number
1356563258
Provider Name
Kristin Royce Brodie
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
123 Fancher RD, Bridgewater Corners, VT 05035-9736
Phone Number
315-436-8864
Primary Taxonomy
Otolaryngology · 207Y00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 2, 2007
Last Update Date
December 8, 2023
Certification Date
December 8, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Fancher RD
Bridgewater Corners, VT 05035-9736
State
Vermont
Zip
05035-9736
Phone Number
315-436-8864
Bridgewater Corners, VT 05035Get directions →

Provider Business Mailing Address Details

Address
Po Box 382
Bridgewater Corners, VT 05035-0382
City
Bridgewater Corners
State
VT
Zip
05035-0382
Phone Number
315-436-8864

License Information

License Number (1)
178242-01
License State (1)
NY
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
1782421
License State (2)
NY
Taxonomy (2)
Otolaryngology · 207Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Otolaryngology providers near Bridgewater Corners, VT

View all Otolaryngology providers in Bridgewater Corners →

Frequently Asked Questions

What is the NPI number of Dr. Kristin R Brodie, MD?

The NPI number of Dr. Kristin R Brodie, MD is 1356563258. It was assigned on May 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kristin R Brodie, MD?

Dr. Kristin R Brodie, MD is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in NY under license number 178242-01.

Where does Dr. Kristin R Brodie, MD practice?

The practice location is 123 Fancher RD, Bridgewater Corners, VT 05035-9736. The office can be reached at 315-436-8864 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356563258 directly on the NPPES registry website.

Browse related providers