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

Mr. Broc Codi White, MD

Individual provider Family Medicine Physician · NPI 1073856225

Mr. Broc Codi White, MD is a Family Practice in Lander, Wyoming. Graduated from Saint Louis University School of Medicine in 2013, 13 years ago. Practices with Lander Medical Clinic PC, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wyoming.

Years since qualifying
13
Trained at
Saint Louis University School of Medicine
Licensed in
WY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

745 Buena Vista Dr
Lander, WY 82520-3431
Phone: (307) 332-2941
Fax: (307) 332-1920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 10524A (WY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073856225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 5, 2013
Last updated in NPPESJune 13, 2016
Mailing address745 Buena Vista Dr, Lander, WY 82520-3431

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Lander Medical Clinic Pc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lander