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Contact Information

WILLIAM N BRODINE, MD
3200 NE RALPH POWELL RD
LEE'S SUMMIT, MO64064-2301
 Phone: 816-525-1600
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WILLIAM N BRODINE · (Male)

NPI # 1215981691
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 04/01/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 0419969
  • MO License # R3E15
  • MO Medicaid 1215981691
  • Other 0004626639 AETNA
  • Other 0004626639 AETNA HMO
  • Other 0004626639 AETNA PPO
  • Other 10071014 BLUE SHIELD OF KC HMO
  • Other 10071014 BLUE SHIELD OF KC PPO
  • Other 431092652 A020 CHAMPUS TRICARE
  • Other 060013888 MEDICARE RAILROAD
  • Other 10071014 PHP FREEDOM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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