David Brodeur, MD PHD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

037964 Issued in GA

Practice address

2525 Cumberland Pkwy SE
Fourth Floor - Suite K
Atlanta, GA 30339-3915

Phone

(770) 431-4360

Fax

(770) 431-4350

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1629137302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 GRANT ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303123116",
            "telephone_number": "404-523-3620",
            "fax_number": "866-262-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 CUMBERLAND PKWY SE",
            "address_2": "FOURTH FLOOR - SUITE K",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393915",
            "telephone_number": "770-431-4360",
            "fax_number": "770-431-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODEUR",
        "first_name": "DAVID",
        "credential": "MD PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "037964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kari Broder, DO
• Daniel K Broderick, M.D.
• Jessica Broderick, PA-C
• Matthew Broderick, M.D.
• Michael Gerard Broderick, DPT
• Shanelle Lee Brodeur, MD
• Jessica Brodley-Lopez
• Brittany Brodsky, RD
• Harold Joseph Brody, M.D.
• Jason Scot Brody, M.D.

• Hematology & Oncology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Hematology & Oncology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; 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.