DAVID BRODEUR MD PHD – NPI #1629137302
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

DAVID BRODEUR is a physician located in ATLANTA, GA. NPPES has assigned the NPI number 1629137302 to DAVID BRODEUR on December 08, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 15 years ago on Feb 01, 2011. 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 DAVID BRODEUR below.

NPI Profile for
DAVID BRODEUR

NPI Number
1629137302
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DAVID BRODEUR
Credentials
MD PHD
Primary location
2525 CUMBERLAND PKWY SE
FOURTH FLOOR - SUITE K
ATLANTA, GA 30339-3915
Phone: (770) 431-4360 Fax: (770) 431-4350
Mailing address
522 GRANT ST SE
ATLANTA, GA 30312-3116
Phone: (404) 523-3620 Fax: (866) 262-5831
Sole Proprietor
No
Updated
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
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)
GA 037964

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.