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JONATHAN J BRODIE MD
NPI 1639134604
Family Medicine in Lake Mills, WI

Active since April 20, 2006
200 E TYRANENA PARK RD, LAKE MILLS, WI 53551(920) 648-3113 Get Directions Write a Review

NPPES record last updated: November 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan J Brodie Md NPPES

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

JONATHAN J BRODIE MD (NPI 1639134604) is an individual family medicine provider in Lake Mills, Wisconsin, licensed in Wisconsin (30363-20) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1639134604
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJONATHAN J BRODIECredential: MD
Location Address200 E TYRANENA PARK RDLake Mills, WI 53551-9678
Mailing Address200 E Tyranena Park RdLake Mills, WI 53551-9678 · (920) 648-3113
Phone(920) 648-3113
Sole ProprietorNo
Enumeration DateApril 20, 2006
Last NPPES UpdateNovember 29, 2013
✔ NPI 1639134604 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 WI · 30363-20
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 ListedEmergency MedicineTaxonomy 207P00000X · License 30363 (WI)
200 E TYRANENA PARK RD, Lake Mills, WI 53551
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Other Identifiers 2

Medicare UPINC08681
Medicare ID-Type Unspecified008000240WI

Other Providers at the Same Location NPPES 15

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

MR. BRIAN JOSEPH MEITNER L.A.T.
Specialist/Technologist (Athletic Trainer)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MRS. KATHRYN ANNE KIDD PT
Physical Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
KRISTEN LANAE WICHMAN OTR
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MS. MINDY J WADE OTR
Occupational Therapist
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8170
MS. NANCY SHEA LCSW
Social Worker (Clinical)
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393
MARY E MILLER MD
Family Medicine
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-3113
DR. VERONICA REJON MD
Family Medicine
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393
JENNIFER MICHELE PHILBIN MD
Family Medicine
200 E TYRANENA PARK RD
LAKE MILLS, WI 53551
Jefferson County (920) 648-8393

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 Jonathan Brodie's NPI number?

The NPI number for Jonathan Brodie is 1639134604. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Jonathan Brodie located?

Jonathan Brodie practices at 200 E Tyranena Park Rd, Lake Mills, WI 53551. The listed phone number is (920) 648-3113.

What is Jonathan Brodie'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 Jonathan Brodie was last updated on November 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.