MEDICARE: MS. AMY LYNN-OPPERER BRODE DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208800000X	Urology Physician	5101014854	MI

General Provider Information

NPI Number	:	1255345609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY LYNN-OPPERER BRODE DO

Provider Business Mailing Address
First Line	:	7380 SAINT AUBURN DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3711
Country	:	US
Telephone Number	:	832-590-0064
Fax Number	:

Provider Business Practice Location Address
First Line	:	7380 SAINT AUBURN DR
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3711
Country	:	US
Telephone Number	:	832-590-0064
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/25/2026

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