Bonnie Joy Brodkin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME14934 Issued in FL

Practice address

3660 Gulf of Mexico Dr
104A
Longboat Key, FL 34228

Phone

(941) 383-1077

Fax

(941) 383-1077

NPI assigned

Apr 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Town & Country Emergency Physicians LLC

  • Emergency Medicine Physician
  • Tampa, FL
  • NPI 1629024088
  NPD (past)
• Maple City Emergency Physicians, LLP

  • Emergency Medicine Physician
  • La Porte, IN
  • NPI 1275558942
  NPD (past)

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1134446701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 GULF OF MEXICO DR",
            "address_2": "104A",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228",
            "telephone_number": "941-383-1077",
            "fax_number": "941-383-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 GULF OF MEXICO DR",
            "address_2": "104A",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "34228",
            "telephone_number": "941-383-1077",
            "fax_number": "941-383-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODKIN",
        "first_name": "BONNIE",
        "middle_name": "JOY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME14934",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME14934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya Sue Badenhorst, PT, ATC, CSCS
• Madelyn Catherine Balitz, LCSW,ACHP-SW
• Loren Batsell, AP
• Peter Williams Birch
• Douglas Keith Black, O.D.
• Carnelian Consulting, LLC
• Andrew Chase
• Chester Alfred Chmielewski, M.D.
• Renee Karas Crames, MS LCSW
• Sandra Currier, MSW

• Emergency Medicine Physician in Longboat Key, FL
• Providers in Longboat Key, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.