Active NPI
Bruce Rogers Brodie, M.D.
- Internal Medicine Physician
- Greensboro, NC
National Provider Identifier
1629030341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 18929
- Practice address
- 1126 N Church St
Suite 300
Greensboro, NC 27401-1000 - Phone
- (336) 832-1700
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 18929 | NC | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 18929 | NC |
Addresses
Primary practice location
1126 N Church St
Suite 300
Greensboro, NC 27401-1000
Mailing address
PO Box 890195
Charlotte, NC 28289-0195
Phone (336) 547-1700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4098065 | Other | NC | AETNA PROVIDER NUMBER |
| 21403 | Other | NC | MEDCOST PROVIDER NUMBER |
| 614 | Other | NC | PARTNERS MEDICARE |
| 8918562 | Medicaid | NC | |
| 18562 | Other | NC | BCBS NC PROVIDER NUMBER |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18929 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reidsville Community Physicians Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Reidsville, NC
- NPI 1699711572
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1629030341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890195",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282890195",
"telephone_number": "336-547-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 N CHURCH ST",
"address_2": "SUITE 300",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011000",
"telephone_number": "336-832-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE",
"first_name": "BRUCE",
"middle_name": "ROGERS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "18929",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "18929",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4098065",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST PROVIDER NUMBER",
"identifier": "21403",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE",
"identifier": "614",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8918562",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC PROVIDER NUMBER",
"identifier": "18562",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.