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Fred Brodie, DIVE IDC
NPI 1649517921 · Independent Duty Corpsman · San Diego, CA
Fred Brodie, DIVE IDC is a Independent Duty Corpsman provider in San Diego, CA (NPI 1649517921).
Provider details
- NPI number
- 1649517921
- Entity type
- Individual
- Primary specialty
- Independent Duty CorpsmanOther Service Providers
- Credential
- DIVE IDC
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2930 Tarawa Rd
San Diego, CA 92155-5198
Phone: (619) 437-5962
Approximate (ZIP-level) locationGet directions
Mailing address
2952 Wellington St
San Diego, CA 92111-5740
Registry dates
- Enumerated
- 2013-01-07
- Last updated
- 2013-01-07
Frequently asked questions
- What is Fred Brodie's NPI number?
- Fred Brodie's National Provider Identifier (NPI) is 1649517921, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Brodie's specialty?
- Fred Brodie is listed in the NPPES registry with a primary specialty of Independent Duty Corpsman (Other Service Providers).
- Where is Fred Brodie located?
- Fred Brodie's practice location on file with NPPES is 2930 Tarawa Rd, San Diego, CA 92155-5198.
- What is Fred Brodie's phone number?
- The practice phone number listed in the NPPES registry for Fred Brodie is (619) 437-5962.
- Is Fred Brodie's NPI active?
- Yes — Fred Brodie's NPI (1649517921) is active in the NPPES registry as of the last update on 2013-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.