Healthcare Provider Details

I. General information

NPI: 1598732208
Provider Name (Legal Business Name): MICHAEL D BROPHEY M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 05/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 N HALL ST SUITE 500
DALLAS TX
75226-1339
US

IV. Provider business mailing address

14800 LANDMARK BLVD SUITE 700
DALLAS TX
75254-7565
US

V. Phone/Fax

Practice location:
  • Phone: 214-841-2000
  • Fax: 214-841-2015
Mailing address:
  • Phone: 972-391-1915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberH2264
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: