BRADLEY R. BRODIE MD – NPI #1174225197
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BRADLEY BRODIE is a physician located in LAKELAND, FL. NPPES has assigned the NPI number 1174225197 to BRADLEY BRODIE on March 21, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on May 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRADLEY BRODIE below.

NPI Profile for
BRADLEY R. BRODIE

NPI Number
1174225197
Enumeration Date

(more than 3 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRADLEY R. BRODIE
Credentials
MD
Primary location
2400 KATHLEEN RD
LAKELAND, FL 33810-3077
Phone: (863) 687-1302 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
CA 206357

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.