MEDICARE: DR. HOWARD S BRODE M.D.

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	2084P0800X	Psychiatry Physician	4301043351	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0630302	OTHER	MI	MEDICARE PROVIDER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B43800	OTHER	MI	UPIN
3	043351	OTHER	MI	DR. LICENSE NUMBER
4	260630322	OTHER	MI	BCBS PROVIDER

General Provider Information

NPI Number	:	1720114747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HOWARD S BRODE M.D.

Provider Business Mailing Address
First Line	:	10 W SQUARE LAKE RD STE 303
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0468
Country	:	US
Telephone Number	:	248-333-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 W SQUARE LAKE RD STE 303
Second Line	:
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48302-0468
Country	:	US
Telephone Number	:	248-333-1010
Fax Number	:

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

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	09/21/2007

Similar Medicare Providers

1720635857 — MELISSA KIMBERLY POREMBIAK MA, LPC, NCC
Practice Location Address:

10 W SQUARE LAKE RD STE 302
BLOOMFIELD HILLS, MI
48302-0468

Practice Phone: 248-277-5353
Practice Fax: 248-250-5482

1780295279 — MRS. ERICA ELYSE KNOWLES NP
Practice Location Address:

10 W SQUARE LAKE RD STE 301
BLOOMFIELD HILLS, MI
48302-0468

Practice Phone: 248-452-9500
Practice Fax:

1316767403 — SUHA KASSAB DPM PC
Practice Location Address:

10 W SQUARE LAKE RD STE 300
BLOOMFIELD HILLS, MI
48302-0468

Practice Phone: 248-333-4900
Practice Fax: 248-333-4905

1275958555 — JULIE KWON, PH.D.LLC
Practice Location Address:

7 W SQUARE LAKE RD
BLOOMFIELD HILLS, MI
48302-0462

Practice Phone: 248-733-5106
Practice Fax: 248-509-4072

1811824634 — TOVLY LLC
Practice Location Address:

3800 LAKELAND LN
BLOOMFIELD HILLS, MI
48302-1327

Practice Phone: 248-221-9369
Practice Fax: 248-221-9369

1801889654 — DR. RONALD J STEWART D.O.
Practice Location Address:

43494 WOODWARD AVE STE 100
BLOOMFIELD HILLS, MI
48302-5052

Practice Phone: 248-218-0601
Practice Fax: 248-693-3683

Directions to “ DR. HOWARD S BRODE M.D.” 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 © 2007-2026 (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.