Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan J Brodie, MD

Individual provider Emergency Medicine Physician · NPI 1639134604

Jonathan J Brodie, MD is an Emergency Medicine Physician in Lake Mills, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

200 E Tyranena Park Rd
Lake Mills, WI 53551-9678
Phone: (920) 648-3113
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 30363-20 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 30363 (WI)

Record details

NPI number1639134604
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2006
Last updated in NPPESNovember 29, 2013
Mailing address200 E Tyranena Park Rd, Lake Mills, WI 53551-9678