Steven Gregory Brodie Sr., M.S. PH.D

Primary specialty

Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X

License

MTO471 Issued in CA

Practice address

8401 Fallbrook Ave
West Hills, CA 91304-3226

Phone

(818) 737-6180

NPI assigned

Aug 31, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1598959611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDEA CREEK LN",
            "city": "OAK PARK",
            "state": "CA",
            "postal_code": "913771007",
            "telephone_number": "818-917-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 FALLBROOK AVE",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913043226",
            "telephone_number": "818-737-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "STEVEN",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.S. PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-31",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "MTO471",
            "primary": true
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "MTP172",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cytogenetics Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• Clinical Cytogenetics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.