Active NPI
Sean Michael Brodie
- Internal Medicine Physician
- Denver, CO
National Provider Identifier
1861871527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- CDRH0059607
- Practice address
- 4525 E 8TH Ave
Denver, CO 80220-3802 - Phone
- (303) 329-6500
- Fax
- (303) 329-9020
- NPI assigned
- May 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | CDRH0059607 | CO | Primary |
Addresses
Primary practice location
4525 E 8TH Ave
Denver, CO 80220-3802
Mailing address
4525 E 8TH Ave
Denver, CO 80220-3802
Phone (303) 329-6500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 29, 2024 through Apr 29, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CDRH0059607 | CO | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1861871527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4525 E 8TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802203802",
"telephone_number": "303-329-6500",
"fax_number": "303-329-9020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4525 E 8TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802203802",
"telephone_number": "303-329-6500",
"fax_number": "303-329-9020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRODIE",
"first_name": "SEAN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-27",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "CDRH0059607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.