NPIMap

Organization Active NPI

Nova Ortho and Spine, PLLC

  • Clinic/Center
  • Fort Pierce, FL
National Provider Identifier
1144787243
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NOVA ORTHO AND SPINE, PLLC
Practice address
1903 S 25TH St Ste 103
Fort Pierce, FL 34947-4740
Phone
(772) 529-4573
Fax
(772) 410-4062
NPI assigned
Feb 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Authorized official

Name
Dr. Marc D Brodsky, MDNPI 1659356772
Title
Physician
Phone
(772) 260-7023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1903 S 25TH St Ste 103
Fort Pierce, FL 34947-4740

Mailing address

1903 S 25TH St Ste 103
Fort Pierce, FL 34947-4740
Phone (772) 529-4573

National Provider Directory

National Provider Directory

Locations

1903 S 25th St
Ste 103
Fort Pierce, FL 34947
Phone (772) 529-4573

Practitioners & affiliated clinicians

Practitioners 1

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": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551052800000",
    "number": "1144787243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S 25TH ST STE 103",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474740",
            "telephone_number": "772-529-4573",
            "fax_number": "772-410-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S 25TH ST STE 103",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474740",
            "telephone_number": "772-529-4573",
            "fax_number": "772-410-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA ORTHO AND SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A",
        "authorized_official_last_name": "BRODSKY",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "772-260-7023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.