AMANDA ELIZABETH BRODEUR DO
NPI 1780434936
Student in an Organized Health Care Education/Training Program in Los Angeles, CA
About Amanda Elizabeth Brodeur Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA ELIZABETH BRODEUR DO (NPI 1780434936) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amanda Elizabeth Brodeur Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
LOS ANGELES, CA 90033
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 Amanda Brodeur's NPI number?
The NPI number for Amanda Brodeur is 1780434936. It was assigned to this individual provider in the NPPES registry on March 22, 2024.
Where is Amanda Brodeur located?
Amanda Brodeur practices at 1200 N State St Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7053.
What is Amanda Brodeur's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amanda Brodeur enrolled in Medicare?
Yes. Amanda Brodeur is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amanda Brodeur was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amanda Elizabeth Brodeur, DO · NPI 1780434936
Student in an Organized Health Care Education/Training Program provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since March 22, 2024.
## Identity
- **NPI:** 1780434936 (Entity type: Individual)
- **Enumerated:** March 22, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1200 N STATE ST, CLINIC TOWER, SUITE A7D, Los Angeles, CA 90033
- **Phone:** (323) 409-7053
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 22, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1780434936) · Data from the CMS NPPES public registry.