MEDICARE: IAN D BRODIE MD F R C S INC

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	305R00000X	Preferred Provider Organization	A29773	CA

General Provider Information

NPI Number	:	1164742557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IAN D BRODIE MD F R C S INC

Provider Business Mailing Address
First Line	:	911 ELECTRIC AVENUE
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-6315
Country	:	US
Telephone Number	:	562-594-8635
Fax Number	:	562-594-6009

Provider Business Practice Location Address
First Line	:	911 ELECTRIC AVENUE
Second Line	:
City	:	SEAL BEACH
State	:	CA
Zip	:	90740-6315
Country	:	US
Telephone Number	:	562-594-8635
Fax Number	:	562-594-6009

Authorized Official
Title or Position	:	OWNER
Name	:	DR. IAN D BRODIE
Credential	:	MD F R C S INC
Telephone Number	:	562-594-8635

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	02/01/2011

Similar Medicare Providers

1417130428 — JOHN DIAMOND HOLLAND IV D.C.
Practice Location Address:

911 ELECTRIC AVE
SEAL BEACH, CA
90740-6315

Practice Phone: 562-322-6533
Practice Fax: 562-594-6009

1346318227 — DR. ZAIDA M REOYO M.D.
Practice Location Address:

7305 N MILITARY TRAIL
RIVIERA BEACH, FL
33409-6315

Practice Phone: 787-557-5640
Practice Fax:

1023352523 — LAUREN CONSUL
Practice Location Address:

9032 BELCARO DR
HUNTINGTON BEACH, CA
92646-6315

Practice Phone: 562-344-5563
Practice Fax:

1609203140 — RELIANCE MEDICAL TRANSPORT, LLC
Practice Location Address:

5261 CHALLEDON DR
VIRGINIA BEACH, VA
23462-6315

Practice Phone: 757-456-5147
Practice Fax: 757-456-5149

1801309596 — THOMAS A MCKEE DDS PC
Practice Location Address:

5261 CHALLEDON DR
VIRGINIA BEACH, VA
23462-6315

Practice Phone: 757-499-2444
Practice Fax: 757-497-7518

1417629692 — CASTLE RESIDENTIAL SERVICES, INC.
Practice Location Address:

6315 WASHINGTON RD
WEST PALM BEACH, FL
33405-4135

Practice Phone: 561-586-2384
Practice Fax:

Directions to “IAN D BRODIE MD F R C S INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.