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

Mr. Fred Joseph Brodie, DIVEIDC

Individual provider Independent Duty Corpsman · NPI 1649517921

Mr. Fred Joseph Brodie, DIVEIDC is an Independent Duty Corpsman in San Diego, California. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

2930 Tarawa Rd
San Diego, CA 92155-5198
Phone: (619) 437-5962
Show map & directions

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

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1649517921
Entity typeIndividual (Type 1)
GenderMale
Credentials DIVEIDC
Sole proprietorYes
NPI enumeratedJanuary 7, 2013
Last updated in NPPESJanuary 7, 2013

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