Jeffrey Alan Brodsky, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4336 Issued in OH

Practice address

2131 Lake Ave
Suite #1
Ashtabula, OH 44004-3466

Phone

(440) 997-6646

Fax

(440) 992-4238

NPI assigned

Oct 25, 2006

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ashtabula Orthopaedics, Inc.

  dba Jeffrey A. Brodsky, D.O.

  • Orthopaedic Surgery Physician
  • Ashtabula, OH
  • NPI 1649250572
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1003990029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE STE 1",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-997-6646",
            "fax_number": "440-992-4238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2131 LAKE AVE",
            "address_2": "SUITE #1",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440043466",
            "telephone_number": "440-997-6646",
            "fax_number": "440-992-4238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "4336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0678646",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110020548",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000136131",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wilhelmina Breedveld
• James S Breth
• Dale Brinker, M.A.
• Kim Britton
• Bailey Lynn Brobst, COTA
• Karen Brooks
• Carla Helen Broughton
• Emily Brown, MSN, APN, FNP-BC
• Grace Brown
• Jessica Brown

• Orthopaedic Surgery Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Orthopaedic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.