Individual provider Active NPI

Adam Brodsky, M.D.

  • Orthopaedic Foot and Ankle Surgery Physician
  • New Canaan, CT
National Provider Identifier
1154375525
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
044501 Issued in CT
Practice address
166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone
(203) 323-7331
NPI assigned
May 20, 2006
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 044501 CT Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 224652 NY

Addresses

Primary practice location

166 Cherry St
Suite B
New Canaan, CT 06840-4828

Mailing address

166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone (203) 323-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20070104000310 CT Practitioner - Orthopedic Surgery 0941230833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
State University of New York Downstate Medical Center, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopaedic Surgery and Sports Medicine Center IncGroup PAC ID 1951293240, 2 clinicians

Practice addresses (Care Compare)

166 Cherry St
Suite B
New Canaan, CT 06840-4828
Phone (203) 323-7331

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044501CTMDOrthopaedic Foot and Ankle Surgery Physician
224652NYMDOrthopaedic Foot and Ankle Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery & Sports Medicine Center Inc CurrentSince Aug 28, 2006 Accepting new patients
Yale University Past Accepting new patients

Locations

166 Cherry St
Ste B
New Canaan, CT 06840
Phone (203) 323-7331

1290 Summer St
Ste 4400
Stamford, CT 06905
Phone (203) 323-7331

Interoperability endpoints

  • Direct secure messaging: adam.brodsky.1@12022.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1154375525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 CHERRY ST",
            "address_2": "SUITE B",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404828",
            "telephone_number": "203-323-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 CHERRY ST",
            "address_2": "SUITE B",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068404828",
            "telephone_number": "203-323-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODSKY",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "CT",
            "license": "044501",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "224652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

Verify at the official NPI Registry.