Organization Active NPI

Tara L Brodkin MD PLLC

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
National Provider Identifier
1013459700
Registry record updated Dec 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
TARA L BRODKIN MD PLLC
Practice address
9070 E Desert Cove Ave
Ste 102
Scottsdale, AZ 85260-6227
Phone
(480) 860-2322
Fax
(480) 860-2433
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2017

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

Authorized official

Name
Tara L Brodkin-Gauer, MD
Title
Member Manager
Phone
(480) 860-2322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

9070 E Desert Cove Ave
Ste 102
Scottsdale, AZ 85260-6227

Mailing address

PO Box 64568
Phoenix, AZ 85082-4568
Phone (318) 424-4008

National Provider Directory

National Provider Directory

Locations

10617 N Hayden Rd
Ste 102
Scottsdale, AZ 85260
Phone (480) 420-0722

10617 N Hayden Rd
Ste 102B
Scottsdale, AZ 85260

9070 E Desert Cove Ave
Ste 201
Scottsdale, AZ 85260

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513900800000",
    "number": "1013459700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64568",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850824568",
            "telephone_number": "318-424-4008",
            "fax_number": "855-230-1466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 E DESERT COVE AVE",
            "address_2": "STE 102",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606227",
            "telephone_number": "480-860-2322",
            "fax_number": "480-860-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA L BRODKIN MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2017-12-22",
        "status": "A",
        "authorized_official_last_name": "BRODKIN-GAUER",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEMBER MANAGER",
        "authorized_official_telephone_number": "480-860-2322",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; 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.