Dr. Zachery Edward Brodil, DO
Radiology, Diagnostic Radiology in Charleston, SC. Individual provider (NPI-1).
NPI number1194353078
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1194353078
- Entity type
- Individual (NPI-1)
- Name
- Dr. Zachery Edward Brodil
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- May 21, 2025
- Last updated
- May 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 94465 | SC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
171 Ashley AveCharleston, SC 29425-4604
Phone 843-792-1414
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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