Healthcare Provider Details

I. General information

NPI: 1639796717
Provider Name (Legal Business Name): KATE MARGARET BROD DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2108 HARRISBURG PIKE STE 100
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2108 HARRISBURG PIKE STE 100
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-9400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberOS025181
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: