Isabel Marguerite Brodersen, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

000155 Issued in CT

Practice address

56 Franklin St
Waterbury, CT 06706-1221

Phone

(203) 709-3538

Fax

(203) 709-7258

NPI assigned

Jul 16, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Merit-based Incentive Payment System (MIPS)

Final score

86.95 of 100Reported as group

Quality

83.15

Promoting interoperability

100

Improvement activities

40

Cost

73.35

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• Beaufort County Memorial Hospital

  • Emergency Medicine Physician
  • Beaufort, SC
  • NPI 1871335018
  NPD
• Beaufort County Memorial Hosptial

  • Specialist
  • Beaufort, SC
  • NPI 1720212129
  NPD
• St Josephs Candler Urgent Care Centers LLC

  • Urgent Care Clinic/Center
  • Bluffton, SC
  • NPI 1902468697
  NPD
• Middle CT Emergency Physicians LLC

  • Emergency Medicine Physician
  • Waterbury, CT
  • NPI 1144585357
  NPD (past)
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)
• Saint Raphael Healthcare System Affiliated Physicians Inc

  • Neurology Physician
  • New Haven, CT
  • NPI 1063744001
  NPD (past)
• Beaufort County Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Beaufort, SC
  • NPI 1467423178
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1144247966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "address_2": "3RD FLOOR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-8873",
            "fax_number": "203-709-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061221",
            "telephone_number": "203-709-3538",
            "fax_number": "203-709-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODERSEN",
        "first_name": "ISABEL",
        "middle_name": "MARGUERITE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CT",
            "license": "000155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jailene Brito
• Susan Broadus
• Alisa Brochu, APRN
• Eugenia M Brockett, LMFT
• Latisha Brockington, LPC-A
• Stephen Brody
• Shantelle Brokaw
• Kathleen Bronsdon
• Kara Elizabeth Brooks, MSW INTERN
• Karen Brousseau

• Medical Physician Assistant in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Medical Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.