Richard Brodbeck
Individual provider Active NPI General Practice Registered Nurse · Pinckney, MI
NPI 1609472240 · NPPES record last updated Dec 9, 2020
Key facts
- NPI
- 1609472240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 4704196726 (MI)
- Practice address
- 8247 Pawnee TRL
Pinckney, MI 48169-9396 - Phone
- (810) 819-6222
- NPI assigned
- Dec 9, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704196726 | MI | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 4704196726 | MI | Yes |
Addresses
Primary practice location
8247 Pawnee TRL
Pinckney, MI 48169-9396
Mailing address
8247 Pawnee TRL
Pinckney, MI 48169-9396
Phone (810) 819-6222
Other providers in Pinckney, MI
- Teri Lee Best
- Kelsey Lauren Bogarin
- Jessica Margaret Boratynski
- Logan Borgelt
- Ashley Brainerd
- Kelsi Broich
- Michael James Brunner
- Karen Burnard
- Buschs Inc
- Alison Buss
All providers in Pinckney, MI · General Practice Registered Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.