Active NPI
Tia Yaa Asantewa Brodeur, MD
- Reproductive Endocrinology Physician
- Columbia, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- 2025013271
- Practice address
- 500 N Keene St Ste 203
Columbia, MO 65201-8144 - Phone
- (573) 817-3101
- Fax
- (573) 499-6065
- NPI assigned
- May 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01090134A | IN | |
| Obstetrics & Gynecology Physician | 207V00000X | 2025013271 | MO | |
| Reproductive Endocrinology Physician | 207VE0102X | 2025013271 | MO | Primary |
Addresses
Primary practice location
500 N Keene St Ste 203
Columbia, MO 65201-8144
Mailing address
PO Box 843966
Kansas City, MO 64184-3966
Phone (573) 884-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 896330098 | Other | IN | MEDICARE PTAN |
| 300078645 | Medicaid | IN |
Other names 1
- Tia Bumpus
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbrodeur@direct.iuhealth.org | Direct | |
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 N Keene St
Suite 203
Columbia, MO 65201-8144
Phone (573) 817-3101
Hospital & facility affiliations
- University of Missouri Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025013271 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Obstetricians-Gynecologists,Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Curators of the University of Missouri | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
7845 Solution Ctr
Chicago, IL 60677
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
550 University Blvd
#2440
Indianapolis, IN 46202
Phone (317) 274-1661
1021 Hitt St
Columbia, MO 65212
Phone (573) 882-2272
500 N Keene St
Ste 203
Columbia, MO 65201
Phone (573) 499-6071
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
Interoperability endpoints
- tbrodeur@direct.iuhealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Obstetrics & Gynecology Physician
- Indianapolis, IN
- NPI 1235177924
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1730535162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843966",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641843966",
"telephone_number": "573-884-3300",
"fax_number": "573-884-0943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N KEENE ST STE 203",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018144",
"telephone_number": "573-817-3101",
"fax_number": "573-499-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODEUR",
"first_name": "TIA",
"middle_name": "YAA ASANTEWA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-04",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01090134A",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2025013271",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "MO",
"license": "2025013271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "896330098",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300078645",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tbrodeur@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 University Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "500 N Keene St Ste 203",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "652018144",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "TIA",
"last_name": "BUMPUS",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.