Ian D Brodie
IAN D BRODIE MD FRCS INC


Address: 911 Electric Ave, Seal Beach, CA 90740-6315
Phone: 5625948635

Ian D Brodie (NPI# 1053328641, PAC ID# 9638352362) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.

Physician Overview

Nation Provider ID (NPI) 1053328641
PAC ID by PECOS 9638352362
Professional Enrollment ID I20110317000755
Full Name Ian D Brodie
Organization Legal Name IAN D BRODIE MD FRCS INC
Address 911 Electric Ave
Seal Beach
CA 90740-6315
Phone Number 5625948635
Gender M
Graduation Year 1967
Primary Specialty ORTHOPEDIC SURGERY
Secondary Specialties HAND SURGERY
Group Practice PAC ID 3678756392
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050551 LOS ALAMITOS MEDICAL CENTER

Other Locations

Address Phone Organization
911 Electric Ave, Seal Beach, CA 90740-6315 5625948635 IAN D BRODIE MD FRCS INC

Organization Information

Organization Legal Name IAN D BRODIE MD FRCS INC
Physicians 1

Office Location

Street Address 911 ELECTRIC AVE
City SEAL BEACH
State CA
Zip 90740-6315

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John D Holland Iv Chiropractic 911 Electric Ave, Seal Beach, CA 90740-6315

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Competitor

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City SEAL BEACH
Zip Code 90740
Specialty ORTHOPEDIC SURGERY
City + Specialty SEAL BEACH + ORTHOPEDIC SURGERY

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Dataset Information

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.

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