Clarice Ann Brodie, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN067528 Issued in GA

Practice address

605 W Gordon St
Thomaston, GA 30286-3425

Phone

(706) 646-6040

Fax

(706) 646-6039

NPI assigned

May 6, 2008

Sex

Female

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)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• McIntosh Trail Community Service Board

  • Community/Behavioral Health Agency
  • Griffin, GA
  • NPI 1336317270
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1669648952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 HICKORY DR",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302867102",
            "telephone_number": "706-647-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 W GORDON ST",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863425",
            "telephone_number": "706-646-6040",
            "fax_number": "706-646-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODIE",
        "first_name": "CLARICE",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN067528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bowles Pharmacy, Inc.
• Trisha Ann Boyt, PHARMD.
• Kristen Michelle Bradford, FNP
• Danny Joe Bramlett, M.D.
• Daniel A Bridges, M.D.
• Rhonda Brooks, RNC, WHNP
• Benjamin S Brown, M.D.
• John W Brown Jr., D.M.D.
• Jonathan Frank Busbee, M.D.
• C. Wayne Dodgen, MD, PC

• Registered Nurse in Thomaston, GA
• Providers in Thomaston, GA by specialty
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.