DR. JACK DENNIS BRODEUR DO
NPI 1427794973
Emergency Medicine in Muskegon, MI

NPI Status: Active since May 09, 2022

Contact Information

1675 LEAHY ST STE 201
MUSKEGON, MI
ZIP 49442
Phone: (231) 672-8289

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  • Individual
  • Male
  • Emergency Medicine

About JACK BRODEUR

This page provides the complete NPI Profile along with additional information for Jack Brodeur, a provider established in Muskegon, Michigan with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1427794973 assigned on May 2022. The practitioner's primary taxonomy code is 207P00000X with license number 5101027814 (MI). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1427794973
Provider Name
DR. JACK DENNIS BRODEUR DO
Gender
Male
Entity Type
Individual
Location Address
1675 LEAHY ST STE 201 MUSKEGON, MI 49442
Location Phone
(231) 672-8289
Mailing Address
1675 LEAHY ST STE 201 MUSKEGON, MI 49442
Is Sole Proprietor?
No
Enumeration Date
05-09-2022
Last Update Date
02-16-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
5101027814
License State
MI
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427794973
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24471498914
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 1 + 4 + 9 + 8 + 9 + 1 + 4 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1427794973 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114503299 DALENNA JANE KESSLER DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(858) 722-4049
1366029985 KATHERINE MARGARET ALLEN MD
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8287
1295319515 NABIHA ADAMS DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8289
1134879646 AUSTEN COX DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 740-6180
1518617984DR. CALLEY GOBER DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8287
1265177794 TAYLOR RICHARD BARTHELS
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8289
1982349411 OLIVER SNYDER MD
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(304) 777-9701
1174268494 AUSTIN ALAN POULSON
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8289
1407591571 TERRYCE A BLANCHARD DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8289
1013610559 ASHLEY LANG DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1437851649 BRITTANY ANNA MARIE BEELER DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1902508682 ALYSSA LEPARD DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1437733748DR. ALEXANDER JOHN PISZKER DO
Individual
Emergency Medicine1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-2000
1831763804 MEREDITH CULBERTSON DO
Individual
Emergency Medicine1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(502) 644-3232
1053170381 LAUREN SABRINA FLORES DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1104685239 JAMES ROBERT WHITE DO
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1184484594 ANGELA LESCHINSKY
Individual
Student in an Organized Health Care Education/Training Program1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1265069132 JOHN WHITNEY RAJALA DO
Individual
Obstetrics & Gynecology1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-6600
1114554193 SATHIYAKALA RAJENDIRAN
Individual
Obstetrics & Gynecology1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 740-6180
1295470623 KEENAN L HACKER DO
Individual
Emergency Medicine1675 LEAHY ST STE 201
MUSKEGON, MI 49442
(231) 672-8289

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427794973, enumerated in the NPI registry as an "individual" on May 09, 2022

The provider is located at 1675 Leahy St Ste 201 Muskegon, Mi 49442 and the phone number is (231) 672-8289

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

This NPI record was last updated on May 09, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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