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COUNTRY DOCTOR PC
NPI 1326078130
Family Medicine in Bloomfield, IA

Active since July 04, 2006
18754 US HIGHWAY 63, BLOOMFIELD, IA 52537(641) 664-1799(641) 664-1663 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Country Doctor Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY DOCTOR PC (NPI 1326078130) is a healthcare organization registered as a family medicine in Bloomfield, Iowa and active in the NPI registry since July 2006. The organization lists Sean D Brodale, President, as its authorized official.

NPPES Registry Identity

NPI1326078130
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTRY DOCTOR PC
Location Address18754 US HIGHWAY 63Bloomfield, IA 52537-6803
Mailing Address18754 Us Highway 63Bloomfield, IA 52537-6803 · (641) 664-1799 · Fax (641) 664-1663
Phone(641) 664-1799
Fax(641) 664-1663
Organization SubpartNo
Authorized OfficialSean D BrodalePresident · (641) 664-1799
Enumeration DateJuly 4, 2006
Last NPPES UpdateMay 21, 2008
✔ NPI 1326078130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 3485
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X · License 3485 (IA)
18754 US HIGHWAY 63, Bloomfield, IA 52537
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Other Identifiers 3

Medicaid2424325IA
Medicare PINI17874IA
Medicaid209029206MO

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN D BRODALE DO
Family Medicine
18754 US HIGHWAY 63
BLOOMFIELD, IA 52537
Davis County (641) 664-1799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Country Doctor PC's NPI number?

The NPI number for Country Doctor PC is 1326078130. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Country Doctor PC located?

Country Doctor PC is located at 18754 Us Highway 63, Bloomfield, IA 52537. The listed phone number is (641) 664-1799.

What is Country Doctor PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Country Doctor PC was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.