Jonathan J. Brodie, MD
Family Medicine Physician · Lake Mills, WI
Jonathan J. Brodie, MD is a family medicine physician with a practice address in Lake Mills, Wisconsin, and NPI 1639134604, issued on Apr 20, 2006. Check the license (Wisconsin 30363-20, as entered in NPPES) on the Wisconsin Medical Examining Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jonathan J. Brodie
- Credential
- MD
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 30363-20 WI
30363 WI
Self-reported in NPPES; status is on the state search - Practice location
- 200 E Tyranena Park RD, Lake Mills, WI 53551
- Phone
- (920) 648-3113
- Enumerated
- Apr 20, 2006
- Record last updated
- Nov 29, 2013 (not updated in 13 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 200 E Tyranena Park RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Bridget Halbersma, NP,APNPFamily Nurse Practitioner1568868537
- Jennifer Hoover, MS/CCCSpeech-Language Pathologist1639445299
- Kathryn Kidd, PTPhysical Therapist1063652667
- McKenna Meihak, APNPFamily Nurse Practitioner1699344747
- Brian Meitner, L.A.T.Athletic Trainer1013045103
Verify Jonathan J. Brodie in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 30363-20Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
5 family medicine physician records list a practice address in Lake Mills
They are 5 of the 91 NPPES records with a practice address in Lake Mills, and 3,765 family medicine physician records in Wisconsin. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 5 in Lake Mills → All 3,765 in Wisconsin → Every provider in Lake Mills →
Other family medicine physician records in Wisconsin
- Ashraf AbbasAppleton, WI1558723775
- Ghudran Abdulal, MDNew Berlin, WI1083622666
- Yusuf Abdullah, DOSun Prairie, WI1437788478
- Vanessa Abejuela-Matt, D.O.Mount Pleasant, WI1558687749
- Emily Abeyta, MDWaukesha, WI1386905107
- Jeanette Abraham, MDWeston, WI1205895810
- Sarada Abraham, M.D.Oconomowoc, WI1962851972
- Kirsten Abramson, MDMadison, WI1417909979
- Alexandra Adams, MD PHDMadison, WI1184689291
- David AdamsMadison, WI1992986897
Common questions
What is Jonathan J. Brodie, MD's NPI number?
Jonathan J. Brodie, MD's National Provider Identifier (NPI) is 1639134604, issued on Apr 20, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Jonathan J. Brodie, MD located?
The NPPES record lists a practice address at 200 E Tyranena Park RD, Lake Mills, WI, 53551. Phone: (920) 648-3113. Providers update this record themselves, so call before visiting.
How can I verify Jonathan J. Brodie, MD's license?
NPPES lists Wisconsin license number 30363-20, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.