Frederick Brodeur, MD
Frederick Brodeur, MD is a Diagnostic Radiology Physician in Traverse City, MI, registered under NPI 1710901236. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 1105 SIXTH ST, Traverse City, MI 49684. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4301059490 | MI | Diagnostic Radiology Physician primary |
| 4301059490 | MI | Vascular & Interventional Radiology… |
This provider holds licence 4301059490 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Interventional Radiology
- PAC ID
- 7810079712
- Enrollment ID
- I20100109000383
Medicare enrolment is recorded as approved under the provider type Practitioner - Interventional Radiology. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Diagnostic Radiology covers
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. NUCC Health Care Provider Taxonomy, code 2085R0202X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | 4301059490 | MI | primary |
| 2085R0204X | Vascular & Interventional Radiology Physician Vascular & Interventional Radiology | 4301059490 | MI |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1710901236 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 27, 2006 |
| Last updated | Apr 29, 2020 |
| Status | Active |
| Sole proprietor | No |
| Credential | MD |
| Practice address |
1105 SIXTH ST Traverse City, MI 49684 (231) 935-0497 |
| Mailing address |
PO BOX 30516, DEPT. 9516 Lansing, MI 48909 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 1 | 0 | 9 | 0 | 1 | 2 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 2 | 0 | 9 | 0 | 2 | 2 | 6 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.