Medro J Brodeur Iii (NPI# 1821068487, PAC ID# 3678620606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1821068487 |
PAC ID by PECOS | 3678620606 |
Professional Enrollment ID | I20090409000096 |
Full Name | Medro J Brodeur Iii |
Organization Legal Name | MEDRO JOSEPH BRODEUR III OD PC |
Address |
531 E Washington Ave Owensville MO 65066-1410 |
Phone Number | 5734378004 |
Gender | M |
Medical School | PENNSYLVANIA COLLEGE OF OPTOMETRY |
Graduation Year | 1980 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 5698892495 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
531 E Washington Ave, Owensville, MO 65066-1410 | 5734378004 | MEDRO JOSEPH BRODEUR III OD PC |
Organization Legal Name | MEDRO JOSEPH BRODEUR III OD PC |
Physicians | 1 |
Street Address |
531 E WASHINGTON AVE |
City | OWENSVILLE |
State | MO |
Zip | 65066-1410 |
Name | Specialty | Organization | Address |
---|---|---|---|
Bonny Thacker | Psychologist, Clinical | Compass Health Inc | 704 E Hwy 28, Oakbrook Plaza, Owensville, MO 65066-1588 |
Stephanee Rossi | Nurse Practitioner | Mercy Clinic East Communities | 440 Hometown Plaza Dr, Owensville, MO 65066-1596 |
Charles P Coyne Iii | Family Medicine | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
Elaine Hobein | Nurse Practitioner | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
Brian Edwards | Family Medicine | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
Allison Bax | Nurse Practitioner | Capital Region Medical Center | 3536 Kuhne Rd, Owensville, MO 65066-2573 |
City | OWENSVILLE |
Zip Code | 65066 |
Specialty | OPTOMETRY |
City + Specialty | OWENSVILLE + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.