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Individual

DR. RICHARD A BRODKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
276 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1949
(704) 873-5150
(704) 873-5208
Mailing address
PO BOX 75216, CHARLOTTE, NC 28275-5216
(704) 873-5150
(704) 873-5208

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
20109
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006005314
VA
01
118
PARTNERS NATIONAL HEALTH
NC
01
18565
BLUE CROSS AND BLUE SHIEL
NC
01
21406
MEDCOST
01
3130882
AETNA HMO
01
3601026
UNITED HEALTH CARE
01
4098090
AETNA PPO
05
7918565
NC
01
P00031308
RAILROAD MEDICARE
Enumeration date
01/25/2006
Last updated
02/01/2013
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