Individual
DR. BRUCE ROGERS BRODIE
Active
Individual
DR. BRUCE ROGERS BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18929
NC
207RC0000X
Cardiovascular Disease Physician
18929
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18562
BCBS NC PROVIDER NUMBER
NC
01
—
21403
MEDCOST PROVIDER NUMBER
NC
01
—
4098065
AETNA PROVIDER NUMBER
NC
01
—
614
PARTNERS MEDICARE
NC
05
—
8918562
—
NC
Enumeration date
04/06/2006
Last updated
07/13/2026
Update your record
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