Ilana Renee Brodzki, PHD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

2608 Erwin Rd Ste 300
Durham, NC 27705-4597

Phone

(919) 660-7649

NPI assigned

Sep 16, 2021

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

Enrolled in NC

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369

  NC

  Medicare reassignment Care Compare group NPD
• Duke University Health System, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1376574798

  NC

  Medicare reassignment
• Duke Health Integrated Practice, Inc

  • Orthopaedic Surgery Physician
  • Durham, NC
  • NPI 1083329023
  Care Compare group
• Duke Health Integrated Practice, Inc

  • Orthopaedic Foot and Ankle Surgery Physician
  • Durham, NC
  • NPI 1518725936
  Care Compare group
• Duke Health Integrated Practice, Inc

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1740049139
  Care Compare group
• Duke Health Integrated Practice, Inc

  • Ambulatory Surgical Clinic/Center
  • Raleigh, NC
  • NPI 1740978386
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Prosthetic/Orthotic Supplier
  • Durham, NC
  • NPI 1275248965
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Internal Medicine Physician
  • Elon, NC
  • NPI 1316651433
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Orthopaedic Surgery Physician
  • Wake Forest, NC
  • NPI 1366156473
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Orthopaedic Surgery Physician
  • Apex, NC
  • NPI 1528772647
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Cary, NC
  • NPI 1528772654
  Care Compare group
• Duke Health Integrated Practice, Inc.

  • Orthopaedic Surgery Physician
  • Burlington, NC
  • NPI 1649984774
  Care Compare group

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1164192563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 MORREENE RD APT 15B",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054556",
            "telephone_number": "954-319-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 ERWIN RD STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054597",
            "telephone_number": "919-660-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODZKI",
        "first_name": "ILANA",
        "middle_name": "RENEE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Broder
• Amanda Rose Broderick, MD
• Jamilah Aisha Broderick, PA-C
• Sheila Eileen Broderick, LCSW
• Miriam Marie Brodersen, LCSW
• Sanja Broer
• Joseph Brogan, M.D.
• Jeremy Edward Brogden, LCSW, BCD
• Judy Ann Brogden
• Peter Robert Bronec, M.D.

• All providers in Durham, NC
• Student in an Organized Health Care Education/Training Program in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.