TIA YAA ASANTEWA BRODEUR (MD) – Reproductive Endocrinology Physician, NPI 1730535162

TIA YAA ASANTEWA BRODEUR (MD) is a healthcare provider. based in Burlington, Vermont. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 01090134A (IN). The NPI Number for TIA YAA ASANTEWA BRODEUR (MD) is 1730535162

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
TIA YAA ASANTEWA BRODEUR (MD)
NPI
1730535162
Phone
(802) 847-0000
Address
111 COLCHESTER AVE
Enumeration Date
4 May 2016
Last Update Date
22 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5738173101
Graduation Year
2016 (10 years ago)
PAC ID
6507138112
Group Practice PAC ID
4486759560
Professional Enrollment ID
I20250506002576
Address ID
MO652018144CO500XXSTXX401

Contacts

Secure Messaging
tbrodeur@direct.iuhealth.org
Secure Messaging
MUDOCREFERRAL@direct.health.missouri.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

120 OBSTETRICS/GYNECOLOGY in VT

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Provider Addresses for TIA YAA ASANTEWA BRODEUR (MD)

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-0000

    Type: Location

  • PO BOX 843966

    KANSAS CITY, MO 641843966

    Phone: (573) 884-3300

    Fax: (573) 884-0943

    Type: Mailing

  • 500 N KEENE ST STE 203

    COLUMBIA, MO 652018144

    Phone: (573) 817-3101

    Fax: (573) 499-6065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $78.

Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($42).

Total Amount

$78

General + Research + Ownership

Payments

4

Total payment records

General Amount

$78

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230616002817IObstetrics/GynecologyINTBD
I20250506002576IObstetrics/GynecologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 05401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4486759560View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YPA
General SurgeryMO
Family PracticeMO
Psychiatry, NeurologyMO
-MO
-MO
-OH
Family PracticeMO
-WA
Diagnostic RadiologyMO

Reviews

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Frequently asked questions

How is TIA YAA ASANTEWA BRODEUR (MD) identified in CMS data?
CMS-hosted NPPES data lists TIA YAA ASANTEWA BRODEUR (MD) with NPI 1730535162.
Does CMS list TIA YAA ASANTEWA BRODEUR (MD) as active?
Yes — TIA YAA ASANTEWA BRODEUR (MD) is active in the NPI listing used on this page.
What is TIA YAA ASANTEWA BRODEUR (MD)'s primary classification?
Reproductive Endocrinology Physician is the headline specialty for TIA YAA ASANTEWA BRODEUR (MD) here. Clinical services aligned with this taxonomy classification.
Does TIA YAA ASANTEWA BRODEUR (MD) list a practice location?
Patients near Burlington, Vermont may find TIA YAA ASANTEWA BRODEUR (MD) in results; validate coverage separately.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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