SCOTT W BRODIE D.M.D.
NPI 1609051713
Dentist in Jacksonville, OR

Q: What is Scott Brodie's NPI number?

The NPI number for Scott Brodie is 1609051713. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Q: What is Scott Brodie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Brodie was last updated on January 8, 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.

Active since January 08, 2008PECOS Enrolled

305 SHAFER LN, JACKSONVILLE, OR 97530(541) 899-8833(541) 899-1769 Get Directions Write a Review

NPPES record last updated: January 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Scott W Brodie D.m.d. NPPES

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

SCOTT W BRODIE D.M.D. (NPI 1609051713) is an individual dentist in Jacksonville, Oregon, licensed in Oregon (D8634) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609051713

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSCOTT W BRODIECredential: D.M.D.

Location Address305 SHAFER LNJacksonville, OR 97530-9681

Mailing Address305 Shafer LnJacksonville, OR 97530-9681 · (541) 899-8833 · Fax (541) 899-1769

Phone(541) 899-8833

Fax(541) 899-1769

Sole ProprietorYes

Enumeration DateJanuary 8, 2008

✔ NPI 1609051713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OR · D8634

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

305 SHAFER LN, Jacksonville, OR 97530

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott W Brodie D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97530 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

BRODIE DENTAL LLC

Dentist (General Practice)

305 SHAFER LN
JACKSONVILLE, OR 97530

Jackson County (541) 899-8833

MRS. WILLIAM R. BRODIE D.M.D.

Dentist

305 SHAFER LN
JACKSONVILLE, OR 97530

Jackson County (541) 899-8833

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 Scott Brodie's NPI number?

The NPI number for Scott Brodie is 1609051713. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Where is Scott Brodie located?

Scott Brodie practices at 305 Shafer Ln, Jacksonville, OR 97530. The listed phone number is (541) 899-8833.

What is Scott Brodie's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Scott Brodie enrolled in Medicare?

Yes. Scott Brodie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Scott Brodie was last updated on January 8, 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.