SCOTT A. BRODARICK M.D. – NPI #1821055492
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

SCOTT BRODARICK is a physician located in MCMINNVILLE, OR. NPPES has assigned the NPI number 1821055492 to SCOTT BRODARICK on April 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 3 years ago on Oct 31, 2023. 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 SCOTT BRODARICK below.

NPI Profile for
SCOTT A. BRODARICK

NPI Number
1821055492
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SCOTT A. BRODARICK
Credentials
M.D.
Primary location
2700 SE STRATUS AVE UNIT 406
MCMINNVILLE, OR 97128-6258
Phone: (503) 472-6131 Fax: (503) 434-9572
2 Other location(s):
1 Mercado St Ste 130
Durango, CO 81301-7306
Phone: (970) 247-1120
Fax: (970) 247-1128
222 S Woods Mill Rd
Suite 510 North
Chesterfield, MO 63017-3625
Phone: (314) 205-6699
Fax: (314) 590-5923
Mailing address
525 3RD ST STE 304
LAKE OSWEGO, OR 97034-3082
Phone: (503) 783-6907 Fax:
Sole Proprietor
No
Updated
Certification Date
Oct 31, 2023

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.

Identifiers

Identifiers for SCOTT BRODARICK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
otherAETNAMO4415401
otherBCBSMO218048
otherGHPMO305031
otherUHCMO1366126
medicaidMO200385417
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 CO DR.0066849

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.

Additional Information

Education
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB) - Graduated 1975
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SCOTT BRODARICK is affiliated with the following medical group(s):
  • HOSPITAL
    • KLICKITAT VALLEY HOSPITAL
      310 SOUTH ROOSEVELT ST
      GOLDENDALE, WA 98620
    • MID-COLUMBIA MEDICAL CENTER
      1700 E 19TH STREET
      THE DALLES, OR 97058
    • PORTNEUF MEDICAL CENTER
      777 HOSPITAL WAY
      POCATELLO, ID 83201

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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