Kenneth Brodsky, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

02928 Issued in KY

Practice address

5 Linville Dr
Suite 104
Paris, KY 40361-2165

Phone

(859) 987-8432

Fax

(859) 987-8433

NPI assigned

May 9, 2006

Last updated

Mar 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Rowan University School of Osteopathic Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

2ND ChanceGroup PAC ID 3274965272, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

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.

• 2ND Chance

  • Addiction Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1215348214
  Medicare reassignment Care Compare group NPD
• Primary Health Associates, PSC

  • Primary Care Clinic/Center
  • Paris, KY
  • NPI 1346281714
  Authorized official Same address or phone
• 2ND Chance

  dba 2nd Chance Convenient Care

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1568128957
  NPD
• Bourbon Physician Practice LLC

  dba Bluegrass Family Clinic

  • Rural Health Clinic/Center
  • Paris, KY
  • NPI 1962111716
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1093764847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LINVILLE DR",
            "address_2": "SUITE 104",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612165",
            "telephone_number": "859-987-8432",
            "fax_number": "859-987-8433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LINVILLE DR",
            "address_2": "SUITE 104",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612165",
            "telephone_number": "859-987-8432",
            "fax_number": "859-987-8433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brewer Health (Bourbontown Pharmacy)
• Brewer Health LLC
• Drew Brewer
• Brightview LLC
• Brightview, LLC
• Abigael Brooke Brodzik, DMD
• Charles Brandten Brooks, DMD
• Tiffany Brown
• Courtney Michelle Bruens
• Kelsey Brumley, LADC

• Family Medicine Physician in Paris, KY
• Providers in Paris, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.