Brodie James Pack
Medical Specialty
Professional ID
- NPI: 1871578203
- PECOS ID: 0244126613
- Enrollment ID: I20040223001311
- Credential(MD, DO, DPM): PT
- Medical School:
- Medical School Graduation Year: 2000
Medical Practices
- Organization Name: Pack Physical Therapy Inc.
- Group Practice ID assigned by PECOS: 2264681923
- Number of Group Practice member: 2
Location
- Address1: 24582 Del Prado C
- Address2:
- City: Dana Point
- State: California
- Zip Code: 92629
- Phone Number: (949)443-0713
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):