Active NPI
Brandon Valor Brodt, PHARM.D.
- Pharmacist
- San Francisco, CA
National Provider Identifier
1043451503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 43082
- Practice address
- 450 Sutter St.
Suite 713
San Francisco, CA 94108 - Phone
- (415) 392-4137
- Fax
- (415) 951-4912
- NPI assigned
- Mar 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43082 | CA | Primary |
Addresses
Primary practice location
450 Sutter St.
Suite 713
San Francisco, CA 94108
Mailing address
450 Sutter Pharmacy
450 Sutter St Suite 713
San Francisco, CA 94108
Phone (415) 392-4137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43082 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236902400000",
"number": "1043451503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 SUTTER PHARMACY",
"address_2": "450 SUTTER ST SUITE 713",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94108",
"telephone_number": "415-392-4137",
"fax_number": "415-951-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 SUTTER ST.",
"address_2": "SUITE 713",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94108",
"telephone_number": "415-392-4137",
"fax_number": "415-951-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODT",
"first_name": "BRANDON",
"middle_name": "VALOR",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-13",
"last_updated": "2009-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "43082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.